| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.75 | $10.00 | $3,388.44 | |
Aetna
| Professional | $2.00 | $2.00 | $3.31 | |
Anthem BCBS
| Facility | $11.22 | $29.51 | $44.67 | |
Anthem BCBS
| Professional | $2.69 | $2.69 | $2.69 | |
Cigna
| Facility | $2.75 | $2.75 | $2.75 | |
Cigna
| Professional | $2.75 | $2.75 | $2.75 | |
Harvard Pilgrim
| Professional | $2.75 | $2.75 | $4.57 | |
United
| Professional | $2.69 | $2.69 | $6.31 | |
Well Sense
| Facility | $2.75 | $2.75 | $2.75 |