| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.29 | $75.29 | $75.29 | |
Aetna
| Professional | $54.17 | $68.09 | $91.50 | |
Anthem BCBS
| Professional | $50.58 | $65.17 | $77.23 | |
Cigna
| Professional | $78.09 | $92.01 | $188.77 | |
Harvard Pilgrim
| Professional | $63.24 | $107.79 | $215.16 | |
Optum
| Professional | $60.00 | $85.13 | $136.43 | |
United
| Professional | $64.89 | $98.70 | $172.19 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |