| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $128.82 | $223.87 | |
Anthem BCBS
| Professional | $123.03 | $177.83 | $251.19 | |
Cigna
| Professional | $128.82 | $190.55 | $288.40 | |
Harvard Pilgrim
| Professional | $128.82 | $199.53 | $309.03 | |
United
| Professional | $134.90 | $194.98 | $323.59 | |
Well Sense
| Professional | $134.90 | $134.90 | $134.90 |