| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.56 | $48.56 | $58.27 | |
Aetna
| Professional | $46.28 | $48.56 | $48.56 | |
Anthem BCBS
| Professional | $147.22 | $147.22 | $147.22 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
Harvard Pilgrim
| Professional | $147.22 | $147.22 | $213.68 | |
United
| Professional | $57.13 | $57.13 | $137.11 | |
Well Sense
| Professional | $48.56 | $53.42 | $67.98 |