| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.68 | $297.70 | $297.70 |
Aetna
| Professional | $196.11 | $220.21 | $602.55 | |
Anthem BCBS
| Professional | $248.10 | $364.25 | $510.71 | |
Cigna
| Professional | $254.90 | $476.05 | $811.86 | |
Harvard Pilgrim
| Professional | $284.02 | $503.68 | $935.59 | |
United
| Professional | $196.24 | $344.71 | $714.75 | |
Well Sense
| Professional | $198.53 | $251.91 | $386.40 |