| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $63.10 | $83.18 | |
Aetna
| Professional | 26 | $38.02 | $43.65 | $57.54 |
Anthem BCBS
| Professional | $63.10 | $87.10 | $131.83 | |
Anthem BCBS
| Professional | 26 | $42.66 | $54.95 | $91.20 |
Cigna
| Professional | $67.61 | $100.00 | $194.98 | |
Cigna
| Professional | 26 | $46.77 | $70.79 | $131.83 |
Harvard Pilgrim
| Professional | $69.18 | $102.33 | $165.96 | |
Harvard Pilgrim
| Professional | 26 | $47.86 | $70.79 | $114.82 |
United
| Professional | $69.18 | $102.33 | $186.21 | |
United
| Professional | 26 | $48.98 | $72.44 | $125.89 |
Well Sense
| Facility | 26 | $28.18 | $28.18 | $33.11 |