| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $173.78 | |
Aetna
| Professional | $12.88 | $18.20 | $20.89 | |
Anthem BCBS
| Facility | $42.66 | $47.86 | $144.54 | |
Anthem BCBS
| Professional | $16.22 | $16.22 | $28.84 | |
Cigna
| Facility | $40.74 | $77.62 | $109.65 | |
Harvard Pilgrim
| Professional | $25.12 | $25.12 | $47.86 | |
United
| Professional | $15.14 | $15.14 | $26.30 |