| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.49 | $86.49 | $103.79 | |
Aetna
| Professional | $63.23 | $67.11 | $93.24 | |
Anthem BCBS
| Facility | $153.61 | $153.61 | $182.09 | |
Anthem BCBS
| Professional | $84.87 | $84.87 | $89.74 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $94.72 | |
Harvard Pilgrim
| Professional | $124.36 | $124.36 | $383.84 | |
United
| Professional | $52.79 | $76.63 | $90.99 | |
Well Sense
| Professional | $115.04 | $126.54 | $161.06 |