| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $19.95 | $23.99 | |
Anthem BCBS
| Facility | $34.67 | $34.67 | $34.67 | |
Anthem BCBS
| Professional | $27.54 | $27.54 | $27.54 | |
Cigna
| Facility | $22.91 | $22.91 | $29.51 | |
Cigna
| Professional | $19.50 | $22.91 | $29.51 | |
Harvard Pilgrim
| Professional | $12.59 | $32.36 | $109.65 | |
United
| Facility | $1.23 | $9.77 | $18.62 | |
United
| Professional | $12.59 | $16.98 | $32.36 |