| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.78 | $68.34 | $98.55 | |
Aetna
| Professional | 25 | $64.63 | $68.34 | $77.09 |
Anthem BCBS
| Professional | $29.04 | $54.45 | $92.93 | |
Cigna
| Professional | $45.00 | $79.09 | $200.13 | |
Harvard Pilgrim
| Professional | $54.80 | $108.13 | $221.77 | |
United
| Professional | $51.91 | $101.86 | $216.90 | |
Well Sense
| Professional | $43.76 | $56.65 | $97.69 |