| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.84 | $90.84 | $866.92 | |
Aetna
| Professional | $20.85 | $24.79 | $36.94 | |
Anthem BCBS
| Professional | $23.89 | $33.32 | $43.07 | |
Cigna
| Facility | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $32.68 | $62.92 | $116.06 | |
Harvard Pilgrim
| Professional | $38.14 | $57.21 | $117.72 | |
United
| Professional | $29.24 | $36.51 | $43.93 | |
Well Sense
| Professional | $27.32 | $32.11 | $48.51 |