| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.18 | $136.18 | $163.41 | |
Aetna
| Professional | $138.74 | $138.74 | $152.61 | |
Anthem BCBS
| Professional | $138.74 | $138.74 | $138.74 | |
Cigna
| Facility | $130.88 | $138.74 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
Harvard Pilgrim
| Professional | $138.74 | $138.74 | $201.37 | |
United
| Professional | $138.74 | $138.74 | $332.98 | |
Well Sense
| Professional | $211.80 | $264.75 | $400.16 |