| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.68 | $6.68 | $21.00 | |
Anthem BCBS
| Professional | $418.86 | $418.86 | $418.86 | |
Harvard Pilgrim
| Professional | $47.40 | $83.25 | $156.13 | |
United
| Professional | $1,053.30 | $1,306.15 | $2,633.66 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |