| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.27 | $66.42 | $68.51 | |
Anthem BCBS
| Professional | $125.33 | $3,804.27 | $7,068.33 | |
Harvard Pilgrim
| Professional | $48.39 | $101.58 | $214.54 | |
United
| Professional | $66.69 | $95.12 | $185.73 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |