| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.36 | $112.36 | $112.36 |
Aetna
| Professional | $145.60 | $190.09 | $349.76 | |
Anthem BCBS
| Professional | $240.66 | $341.79 | $495.59 | |
Cigna
| Professional | $310.98 | $504.97 | $754.05 | |
Harvard Pilgrim
| Professional | $275.61 | $524.88 | $980.20 | |
United
| Professional | $225.92 | $333.05 | $975.28 | |
Well Sense
| Professional | $161.27 | $201.59 | $308.58 |