| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.55 | $99.10 | $99.10 |
Aetna
| Professional | $82.90 | $111.02 | $306.52 | |
Anthem BCBS
| Professional | $127.12 | $186.64 | $263.94 | |
Cigna
| Professional | $142.50 | $221.77 | $414.29 | |
Harvard Pilgrim
| Professional | $145.53 | $258.64 | $479.39 | |
United
| Professional | $104.07 | $159.56 | $292.76 | |
Well Sense
| Professional | $94.58 | $118.76 | $179.36 |