| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.24 | $60.00 | $60.00 | |
Anthem BCBS
| Professional | $34.97 | $34.97 | $34.97 | |
Harvard Pilgrim
| Professional | $27.69 | $42.87 | $108.10 | |
United
| Professional | $15.13 | $26.36 | $40.44 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |