| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.82 | $114.82 | $114.82 |
Aetna
| Professional | $190.55 | $239.88 | $616.60 | |
Anthem BCBS
| Professional | $251.19 | $338.84 | $501.19 | |
Cigna
| Professional | $309.03 | $501.19 | $758.58 | |
Harvard Pilgrim
| Professional | $288.40 | $489.78 | $776.25 | |
United
| Professional | $223.87 | $295.12 | $758.58 | |
Well Sense
| Facility | 26 | $54.95 | $54.95 | $54.95 |