| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.37 | $110.84 | $1,296.00 | |
Aetna
| Professional | $56.38 | $92.37 | $114.73 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 | |
Harvard Pilgrim
| Professional | $73.08 | $76.66 | $76.66 |