| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.84 | $51.94 | $51.94 | |
Anthem BCBS
| Facility | $88.80 | $88.80 | $88.80 | |
Anthem BCBS
| Professional | $73.65 | $73.65 | $79.54 | |
Cigna
| Facility | $60.46 | $60.46 | $80.95 | |
Cigna
| Professional | $51.39 | $60.46 | $80.95 | |
Harvard Pilgrim
| Professional | $70.95 | $199.19 | $252.47 | |
United
| Professional | $31.58 | $47.36 | $78.86 | |
Well Sense
| Professional | $86.16 | $95.46 | $121.49 |