| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
Anthem BCBS
| Facility | $87.99 | $132.88 | $334.88 | |
Anthem BCBS
| Professional | $66.43 | $66.43 | $73.81 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Harvard Pilgrim
| Professional | $77.45 | $119.88 | $227.85 | |
United
| Professional | $73.81 | $73.81 | $84.89 | |
Well Sense
| Professional | $66.05 | $72.66 | $92.47 |