| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.66 | $21.66 | $25.99 | |
Aetna
| Professional | $20.64 | $21.66 | $21.66 | |
Anthem BCBS
| Professional | $21.65 | $21.65 | $21.65 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $32.36 | $32.36 | $32.36 | |
Harvard Pilgrim
| Professional | $21.66 | $28.59 | $32.49 | |
Well Sense
| Professional | $15.00 | $18.00 | $22.50 |