| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.47 | $209.27 | $209.27 |
Aetna
| Professional | $106.14 | $186.16 | $576.34 | |
Anthem BCBS
| Professional | $110.63 | $162.41 | $235.50 | |
Cigna
| Professional | $146.16 | $253.62 | $519.71 | |
Harvard Pilgrim
| Professional | $126.64 | $208.32 | $417.16 | |
United
| Professional | $157.80 | $219.15 | $577.05 | |
Well Sense
| Professional | $99.51 | $123.39 | $214.63 |