| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.19 | $154.19 | $156.69 | |
Aetna
| Professional | $89.31 | $103.06 | $129.00 | |
Anthem BCBS
| Professional | $102.02 | $125.98 | $207.89 | |
Cigna
| Professional | $123.54 | $161.65 | $293.68 | |
Harvard Pilgrim
| Professional | $117.60 | $192.89 | $364.37 | |
United
| Professional | $117.42 | $160.04 | $348.57 | |
Well Sense
| Professional | $79.76 | $96.32 | $126.54 |