| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.15 | $98.16 | $109.94 | |
Aetna
| Professional | $98.15 | $98.16 | $98.16 | |
Anthem BCBS
| Facility | $117.00 | $176.69 | $445.29 | |
Anthem BCBS
| Professional | $75.14 | $87.95 | $98.16 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Harvard Pilgrim
| Professional | $102.99 | $159.41 | $302.97 | |
United
| Professional | $98.16 | $98.16 | $112.88 | |
Well Sense
| Professional | $39.15 | $45.06 | $64.09 |