| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.81 | $59.81 | $71.77 | |
Aetna
| Professional | $62.41 | $62.41 | $71.77 | |
Anthem BCBS
| Professional | $62.41 | $62.41 | $62.41 | |
Cigna
| Facility | $58.88 | $62.41 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $62.41 | |
Harvard Pilgrim
| Professional | $62.41 | $62.41 | $90.58 | |
United
| Professional | $62.41 | $62.41 | $78.80 |