| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $30.57 | $34.24 | |
Aetna
| Professional | $30.57 | $30.57 | $30.57 | |
Anthem BCBS
| Facility | $35.97 | $58.09 | $155.01 | |
Anthem BCBS
| Professional | $30.75 | $30.75 | $30.75 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Harvard Pilgrim
| Professional | $35.85 | $55.49 | $105.47 | |
United
| Professional | $34.17 | $34.17 | $39.29 | |
Well Sense
| Professional | $28.77 | $35.97 | $3,000.00 |