| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.55 | $55.55 | $66.66 | |
Aetna
| Professional | $29.21 | $43.11 | $56.60 | |
Anthem BCBS
| Facility | $63.45 | $63.45 | $75.20 | |
Anthem BCBS
| Professional | $54.36 | $54.36 | $57.66 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $63.68 | |
Harvard Pilgrim
| Professional | $79.89 | $79.89 | $246.58 | |
United
| Professional | $24.64 | $49.22 | $58.44 | |
Well Sense
| Professional | $65.05 | $78.06 | $114.75 |