| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.70 | $107.36 | $107.36 | |
Anthem BCBS
| Facility | $188.80 | $188.80 | $188.80 | |
Anthem BCBS
| Professional | $159.02 | $159.02 | $159.02 | |
Cigna
| Facility | $130.68 | $130.68 | $171.51 | |
Cigna
| Professional | $98.20 | $130.68 | $156.62 | |
Harvard Pilgrim
| Professional | $150.87 | $423.51 | $536.78 | |
United
| Professional | $65.59 | $98.40 | $143.86 | |
Well Sense
| Professional | $176.55 | $195.61 | $248.96 |