| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $6.17 | $309.03 | |
Aetna
| Professional | $3.98 | $4.79 | $13.80 | |
Anthem BCBS
| Facility | $6.92 | $10.00 | $17.78 | |
Anthem BCBS
| Professional | $4.79 | $4.79 | $5.50 | |
Cigna
| Facility | $4.57 | $4.79 | $4.79 | |
Cigna
| Professional | $4.79 | $4.79 | $4.79 | |
Harvard Pilgrim
| Professional | $4.79 | $8.13 | $9.33 | |
United
| Professional | $4.79 | $4.79 | $7.41 |