| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $60.26 | $275.42 | |
Aetna
| Professional | $19.95 | $19.95 | $37.15 | |
Anthem BCBS
| Facility | $74.13 | $83.18 | $251.19 | |
Anthem BCBS
| Professional | $4.57 | $28.18 | $28.18 | |
Cigna
| Facility | $70.79 | $134.90 | $190.55 | |
Harvard Pilgrim
| Professional | $43.65 | $43.65 | $83.18 | |
United
| Professional | $26.30 | $26.30 | $43.65 |