| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.26 | $28.27 | $197.89 | |
Aetna
| Professional | $24.43 | $28.27 | $28.27 | |
Anthem BCBS
| Facility | $46.50 | $54.73 | $127.78 | |
Anthem BCBS
| Professional | $11.31 | $18.37 | $20.75 | |
Cigna
| Facility | $51.06 | $102.94 | $124.05 | |
Cigna
| Professional | $14.86 | $14.86 | $36.56 | |
Harvard Pilgrim
| Professional | $38.36 | $50.24 | $141.28 | |
United
| Professional | $11.87 | $16.96 | $70.69 | |
Well Sense
| Professional | $5,525.00 | $5,525.00 | $5,525.00 |