| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $74.13 | $223.87 | |
Aetna
| Professional | $23.99 | $33.11 | $100.00 | |
Anthem BCBS
| Facility | $60.26 | $67.61 | $204.17 | |
Anthem BCBS
| Professional | $17.38 | $22.91 | $33.11 | |
Cigna
| Facility | $57.54 | $128.82 | $181.97 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
Harvard Pilgrim
| Professional | $35.48 | $57.54 | $100.00 | |
United
| Professional | $20.89 | $21.38 | $79.43 |