| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $16.98 | $19.95 | $33.11 | |
Anthem BCBS
| Professional | $16.60 | $36.31 | $52.48 | |
Cigna
| Professional | $20.89 | $37.15 | $61.66 | |
Harvard Pilgrim
| Professional | $18.20 | $27.54 | $43.65 | |
United
| Professional | $18.20 | $30.20 | $53.70 | |
Well Sense
| Facility | $13.80 | $15.85 | $22.91 |