| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.06 | $120.06 | $120.06 | |
Aetna
| Professional | $15.60 | $22.30 | $37.22 | |
Anthem BCBS
| Professional | $24.02 | $31.38 | $31.38 | |
Harvard Pilgrim
| Professional | $30.55 | $52.07 | $103.95 | |
United
| Professional | $22.45 | $30.62 | $66.31 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |