| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $23.99 | $30.20 | |
Anthem BCBS
| Facility | $43.65 | $43.65 | $43.65 | |
Anthem BCBS
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Facility | $26.92 | $26.92 | $35.48 | |
Cigna
| Professional | $22.91 | $26.92 | $35.48 | |
Harvard Pilgrim
| Professional | $14.45 | $37.15 | $128.82 | |
United
| Facility | $1.45 | $10.96 | $21.38 | |
United
| Professional | $14.45 | $21.38 | $37.15 |