| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.64 | $6.64 | $8.17 | |
Aetna
| Professional | $6.64 | $6.64 | $6.64 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
Harvard Pilgrim
| Professional | $0.02 | $0.02 | $0.04 | |
United
| Professional | $0.02 | $0.02 | $0.02 | |
Well Sense
| Professional | $4.82 | $5.78 | $9.13 |