| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.80 | $111.80 | $134.16 | |
Aetna
| Professional | $56.38 | $83.22 | $111.80 | |
Anthem BCBS
| Facility | $122.50 | $122.50 | $145.21 | |
Anthem BCBS
| Professional | $110.53 | $111.80 | $111.80 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $94.02 | $128.79 | |
Harvard Pilgrim
| Professional | $154.19 | $154.19 | $475.94 | |
United
| Professional | $59.47 | $95.02 | $126.71 | |
Well Sense
| Professional | $107.37 | $118.11 | $150.32 |