| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $38.40 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
Anthem BCBS
| Professional | $5.56 | $5.56 | $5.56 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Harvard Pilgrim
| Professional | $9.25 | $9.25 | $14.03 | |
United
| Professional | $9.25 | $9.25 | $9.25 |