| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $82.34 | |
Aetna
| Professional | $69.20 | $69.22 | $69.22 | |
Anthem BCBS
| Facility | $81.27 | $131.51 | $350.94 | |
Anthem BCBS
| Professional | $69.62 | $69.62 | $69.62 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Harvard Pilgrim
| Professional | $81.17 | $125.63 | $238.77 | |
United
| Professional | $77.36 | $77.36 | $88.96 | |
Well Sense
| Professional | $65.37 | $81.78 | $3,000.00 |