| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $74.13 | |
Aetna
| Professional | $57.54 | $61.66 | $72.44 | |
Anthem BCBS
| Facility | $85.11 | $125.89 | $218.78 | |
Anthem BCBS
| Professional | $60.26 | $61.66 | $70.79 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
Harvard Pilgrim
| Professional | $102.33 | $102.33 | $107.15 | |
United
| Professional | $60.26 | $60.26 | $102.33 | |
Well Sense
| Facility | $95.50 | $128.82 | $158.49 |