| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Aetna
| Professional | $59.52 | $83.54 | $90.13 | |
Anthem BCBS
| Professional | $56.55 | $56.93 | $56.93 | |
Harvard Pilgrim
| Professional | $77.52 | $127.11 | $253.74 | |
United
| Professional | $79.87 | $124.68 | $244.35 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |