| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $79.28 | $169.20 | |
Aetna
| Professional | $22.05 | $49.67 | $63.46 | |
Anthem BCBS
| Professional | $22.16 | $50.10 | $87.69 | |
Cigna
| Professional | $27.41 | $63.11 | $124.72 | |
Harvard Pilgrim
| Professional | $26.42 | $62.52 | $147.12 | |
United
| Professional | $50.16 | $76.84 | $150.18 | |
Well Sense
| Professional | $20.23 | $40.13 | $60.95 |