| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.99 | $112.99 | $112.99 | |
Anthem BCBS
| Professional | $117.54 | $117.54 | $157.06 | |
Harvard Pilgrim
| Professional | $111.83 | $193.44 | $345.16 | |
United
| Professional | $60.92 | $86.64 | $248.27 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |