| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.50 | $125.50 | $125.50 |
Aetna
| Professional | $604.28 | $746.60 | $746.60 | |
Anthem BCBS
| Professional | $612.97 | $1,309.63 | $1,898.96 | |
Cigna
| Professional | $820.49 | $1,537.70 | $1,999.61 | |
Harvard Pilgrim
| Professional | $713.72 | $1,247.09 | $3,253.80 | |
United
| Professional | $872.06 | $946.59 | $1,335.61 | |
Well Sense
| Professional | $584.58 | $643.04 | $818.41 |