| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.05 | $21.41 | $70.59 | |
Aetna
| Professional | $15.40 | $16.34 | $22.70 | |
Anthem BCBS
| Facility | $37.40 | $37.40 | $44.33 | |
Anthem BCBS
| Professional | $20.75 | $20.75 | $21.86 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $24.80 | |
Harvard Pilgrim
| Professional | $30.28 | $30.28 | $93.46 | |
United
| Professional | $12.44 | $18.64 | $30.28 | |
Well Sense
| Professional | $24.43 | $26.87 | $34.20 |