| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.29 | $76.29 | $91.55 | |
Aetna
| Professional | $3.50 | $76.29 | $76.29 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Harvard Pilgrim
| Professional | $79.77 | $88.19 | $116.42 |