| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $36.31 | |
Aetna
| Professional | $22.91 | $30.20 | $42.66 | |
Anthem BCBS
| Facility | $54.95 | $57.54 | $66.07 | |
Anthem BCBS
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Facility | $30.90 | $30.90 | $38.90 | |
Cigna
| Professional | $22.39 | $22.39 | $30.90 | |
Harvard Pilgrim
| Professional | $46.77 | $46.77 | $81.28 | |
United
| Facility | $15.14 | $25.70 | $33.11 | |
United
| Professional | $18.62 | $26.92 | $46.77 | |
Well Sense
| Facility | $41.69 | $41.69 | $66.07 |