| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.23 | $98.23 | $117.88 | |
Aetna
| Professional | $59.75 | $76.22 | $98.23 | |
Anthem BCBS
| Facility | $174.45 | $174.45 | $206.79 | |
Anthem BCBS
| Professional | $85.01 | $85.01 | $92.64 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $73.31 | $107.06 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $435.97 | |
United
| Professional | $58.02 | $87.03 | $103.34 | |
Well Sense
| Professional | $129.07 | $152.61 | $230.48 |