| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $66.07 | $93.33 | |
Anthem BCBS
| Professional | $56.23 | $162.18 | $269.15 | |
Cigna
| Professional | $66.07 | $109.65 | $194.98 | |
Harvard Pilgrim
| Professional | $66.07 | $114.82 | $218.78 | |
United
| Professional | $87.10 | $114.82 | $218.78 |