| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.08 | $205.31 | $205.31 |
Aetna
| Professional | $107.29 | $188.50 | $211.76 | |
Anthem BCBS
| Professional | $113.86 | $167.16 | $242.38 | |
Cigna
| Professional | $150.62 | $258.33 | $521.54 | |
Harvard Pilgrim
| Professional | $130.35 | $225.48 | $429.39 | |
United
| Professional | $164.09 | $227.88 | $600.05 | |
Well Sense
| Professional | $103.52 | $142.44 | $215.50 |