| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $24.55 | $29.51 | |
Aetna
| Professional | $1.00 | $21.88 | $24.55 | |
Anthem BCBS
| Professional | $1.29 | $1.29 | $1.29 | |
Cigna
| Facility | $1.12 | $1.12 | $1.12 | |
Cigna
| Professional | $1.12 | $1.12 | $1.12 | |
Harvard Pilgrim
| Professional | $1.48 | $1.58 | $2.82 | |
United
| Professional | $1.48 | $234.42 | $234.42 |