| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $33.88 | |
Aetna
| Professional | $22.91 | $30.20 | $45.71 | |
Anthem BCBS
| Facility | $54.95 | $58.88 | $67.61 | |
Anthem BCBS
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $26.30 | $26.30 | $36.31 | |
Harvard Pilgrim
| Professional | $47.86 | $47.86 | $83.18 | |
United
| Facility | $18.20 | $28.18 | $41.69 | |
United
| Professional | $18.20 | $26.92 | $47.86 | |
Well Sense
| Facility | $47.86 | $47.86 | $77.62 |