| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.97 | $2.36 | $603.08 | |
Aetna
| Professional | $2.21 | $2.73 | $2.73 | |
Anthem BCBS
| Facility | $3.26 | $4.09 | $11.24 | |
Anthem BCBS
| Professional | $1.97 | $2.73 | $2.73 | |
Cigna
| Facility | $2.57 | $2.73 | $2.73 | |
Cigna
| Professional | $2.73 | $2.73 | $2.73 | |
Harvard Pilgrim
| Professional | $2.73 | $4.55 | $8.99 | |
United
| Professional | $2.73 | $2.73 | $12.03 | |
Well Sense
| Professional | $6.72 | $18.85 | $28.91 |