| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $47.86 | $64.57 | |
Anthem BCBS
| Facility | $91.20 | $91.20 | $91.20 | |
Anthem BCBS
| Professional | $69.18 | $69.18 | $69.18 | |
Cigna
| Facility | $44.67 | $44.67 | $52.48 | |
Cigna
| Professional | $38.02 | $44.67 | $67.61 | |
Harvard Pilgrim
| Professional | $29.51 | $77.62 | $263.03 | |
United
| Facility | $2.95 | $21.88 | $46.77 | |
United
| Professional | $29.51 | $43.65 | $77.62 |