| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.64 | $102.56 | $128.66 | |
Anthem BCBS
| Facility | $160.41 | $160.41 | $160.41 | |
Anthem BCBS
| Professional | $139.97 | $139.97 | $139.97 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $129.12 | $161.74 | |
Harvard Pilgrim
| Professional | $140.54 | $394.51 | $500.03 | |
United
| Professional | $55.81 | $83.71 | $171.85 | |
Well Sense
| Professional | $159.26 | $176.46 | $224.59 |