| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $20.21 | $24.25 | |
Aetna
| Professional | $19.26 | $20.21 | $20.21 | |
Anthem BCBS
| Professional | $20.21 | $20.21 | $20.21 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
Harvard Pilgrim
| Professional | $20.21 | $26.68 | $30.32 |