| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.65 | $90.65 | $108.78 | |
Aetna
| Professional | $80.06 | $80.06 | $90.65 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $140.25 | $140.25 | $140.25 | |
Harvard Pilgrim
| Professional | $40.28 | $40.28 | $100.02 | |
United
| Professional | $40.28 | $40.28 | $40.28 |