| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.96 | $28.97 | $28.97 | |
Anthem BCBS
| Facility | $34.10 | $55.03 | $146.84 | |
Anthem BCBS
| Professional | $29.14 | $29.14 | $29.14 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Harvard Pilgrim
| Professional | $33.97 | $52.59 | $99.94 | |
United
| Professional | $28.37 | $32.38 | $37.24 | |
Well Sense
| Professional | $27.92 | $34.92 | $3,000.00 |