| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $28.84 | $39.81 | |
Anthem BCBS
| Facility | $54.95 | $54.95 | $54.95 | |
Anthem BCBS
| Professional | $42.66 | $42.66 | $42.66 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $29.51 | $35.48 | $41.69 | |
Harvard Pilgrim
| Professional | $21.88 | $46.77 | $158.49 | |
United
| Facility | $2.24 | $16.60 | $30.20 | |
United
| Professional | $20.89 | $26.92 | $46.77 |