| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $22.07 | |
Aetna
| Professional | $17.52 | $18.39 | $18.39 | |
Anthem BCBS
| Professional | $16.70 | $16.70 | $16.70 | |
Cigna
| Facility | $18.39 | $18.39 | $18.39 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
Harvard Pilgrim
| Professional | $18.39 | $24.40 | $30.50 |