| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.70 | $91.50 | $163.40 | |
Aetna
| Professional | $78.80 | $78.80 | $81.70 | |
Anthem BCBS
| Facility | $92.92 | $130.09 | $344.41 | |
Anthem BCBS
| Professional | $78.80 | $78.80 | $81.70 | |
Cigna
| Facility | $74.33 | $78.79 | $78.79 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
Harvard Pilgrim
| Professional | $82.68 | $127.97 | $243.22 | |
United
| Professional | $78.80 | $88.26 | $88.26 | |
Well Sense
| Professional | $29.66 | $32.63 | $41.52 |