| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.06 | $78.06 | $78.06 | |
Aetna
| Professional | $56.94 | $57.05 | $57.05 | |
Anthem BCBS
| Professional | $62.47 | $118.83 | $195.23 | |
Cigna
| Professional | $96.24 | $129.75 | $189.21 | |
Harvard Pilgrim
| Professional | $60.01 | $114.57 | $197.61 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $79.59 | $93.79 | $194.14 | |
Well Sense
| Professional | $47.64 | $57.17 | $84.04 |