| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $151.40 | $370.55 | $370.55 |
Aetna
| Professional | $158.44 | $186.29 | $307.63 | |
Anthem BCBS
| Professional | $251.98 | $369.95 | $518.70 | |
Cigna
| Professional | $282.20 | $450.25 | $777.68 | |
Harvard Pilgrim
| Professional | $288.45 | $480.29 | $890.33 | |
United
| Professional | $210.09 | $311.95 | $520.73 | |
Well Sense
| Professional | $197.47 | $217.22 | $276.45 |