| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.52 | $61.52 | $73.81 | |
Aetna
| Professional | $49.94 | $61.52 | $61.52 | |
Anthem BCBS
| Facility | $72.11 | $90.48 | $120.64 | |
Anthem BCBS
| Professional | $60.32 | $61.52 | $61.52 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Harvard Pilgrim
| Professional | $101.24 | $101.24 | $177.81 | |
United
| Professional | $60.32 | $60.32 | $100.61 | |
Well Sense
| Professional | $94.79 | $104.27 | $132.71 |