| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $295.12 | $295.12 | $295.12 |
Aetna
| Professional | $275.42 | $426.58 | $676.08 | |
Anthem BCBS
| Professional | $269.15 | $616.60 | $912.01 | |
Cigna
| Professional | $363.08 | $676.08 | $1,348.96 | |
Harvard Pilgrim
| Professional | $316.23 | $489.78 | $758.58 | |
United
| Professional | $316.23 | $537.03 | $954.99 | |
Well Sense
| Facility | 26 | $48.98 | $57.54 | $57.54 |