| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.98 | $72.14 | $252.83 | |
Aetna
| Professional | $23.37 | $28.81 | $52.36 | |
Anthem BCBS
| Professional | $26.64 | $45.93 | $59.37 | |
Cigna
| Facility | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $37.54 | $81.02 | $117.60 | |
Harvard Pilgrim
| Professional | $52.58 | $78.87 | $162.29 | |
United
| Professional | $36.61 | $48.57 | $59.81 | |
Well Sense
| Professional | $30.62 | $45.15 | $69.25 |