| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.31 | $215.59 | $215.59 |
Aetna
| Professional | $111.23 | $160.86 | $805.86 | |
Anthem BCBS
| Professional | $122.59 | $179.99 | $259.89 | |
Cigna
| Professional | $162.47 | $273.87 | $536.72 | |
Harvard Pilgrim
| Professional | $140.34 | $249.41 | $462.29 | |
United
| Professional | $173.22 | $223.02 | $633.45 | |
Well Sense
| Professional | $109.50 | $150.66 | $221.96 |