| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.16 | $107.92 | $107.92 | |
Anthem BCBS
| Facility | $174.74 | $174.74 | $174.74 | |
Anthem BCBS
| Professional | $152.99 | $152.99 | $157.00 | |
Cigna
| Facility | $112.00 | $112.73 | $112.73 | |
Cigna
| Professional | $15.59 | $112.73 | $146.53 | |
Harvard Pilgrim
| Professional | $139.56 | $391.76 | $496.54 | |
United
| Professional | $58.51 | $87.77 | $146.53 | |
Well Sense
| Professional | $173.49 | $192.21 | $244.64 |