| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.24 | $79.65 | $237.32 | |
Aetna
| Professional | $39.36 | $43.24 | $62.37 | |
Anthem BCBS
| Professional | $51.14 | $67.59 | $87.40 | |
Cigna
| Facility | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $40.11 | $54.88 | $132.32 | |
Harvard Pilgrim
| Professional | $77.39 | $116.08 | $238.86 | |
United
| Professional | $49.01 | $61.60 | $86.97 | |
Well Sense
| Professional | $35.29 | $53.39 | $81.90 |