| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.36 | $112.36 | $112.36 |
Aetna
| Professional | $283.39 | $365.81 | $365.81 | |
Anthem BCBS
| Professional | $357.43 | $507.64 | $736.07 | |
Cigna
| Professional | $477.77 | $810.53 | $1,124.15 | |
Harvard Pilgrim
| Professional | $409.34 | $735.85 | $1,347.88 | |
United
| Professional | $375.97 | $471.34 | $835.62 | |
Well Sense
| Professional | $290.54 | $319.58 | $406.76 |