| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.74 | $35.61 | $36.71 | |
Anthem BCBS
| Professional | $34.61 | $82.90 | $119.11 | |
Harvard Pilgrim
| Professional | $40.72 | $64.31 | $134.16 | |
United
| Facility | $3,360.00 | $3,360.00 | $7,448.00 | |
United
| Professional | $34.54 | $49.26 | $96.15 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |