| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.86 | $106.81 | $133.47 | |
Anthem BCBS
| Facility | $168.92 | $168.92 | $168.92 | |
Anthem BCBS
| Professional | $148.43 | $148.43 | $160.30 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $162.21 | |
Harvard Pilgrim
| Professional | $134.99 | $378.93 | $480.28 | |
United
| Professional | $65.59 | $101.53 | $210.90 | |
Well Sense
| Professional | $196.83 | $218.08 | $277.55 |