| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.59 | $50.59 | $60.71 | |
Aetna
| Professional | $37.65 | $40.40 | $52.31 | |
Anthem BCBS
| Facility | $86.18 | $86.18 | $102.16 | |
Anthem BCBS
| Professional | $50.59 | $50.59 | $54.63 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $39.31 | $53.85 | |
Harvard Pilgrim
| Professional | $69.78 | $69.78 | $215.38 | |
United
| Professional | $28.66 | $43.00 | $57.33 |