| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.44 | $67.44 | $80.93 | |
Aetna
| Professional | $45.80 | $59.46 | $67.44 | |
Anthem BCBS
| Professional | $82.15 | $82.15 | $82.15 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $50.99 | $69.84 | |
Harvard Pilgrim
| Professional | $188.49 | $188.49 | $581.77 | |
United
| Professional | $39.11 | $58.66 | $126.20 |