| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.25 | $54.41 | $59.90 | |
Anthem BCBS
| Professional | $61.51 | $79.40 | $114.08 | |
Harvard Pilgrim
| Professional | $76.28 | $119.86 | $235.44 | |
United
| Facility | $3,360.00 | $3,360.00 | $7,448.00 | |
United
| Professional | $52.80 | $76.34 | $154.82 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |