| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.83 | $43.83 | $48.96 | |
Anthem BCBS
| Professional | $71.23 | $71.23 | $96.48 | |
Harvard Pilgrim
| Professional | $94.58 | $175.39 | $302.50 | |
United
| Professional | $59.24 | $85.50 | $286.98 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |