| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.48 | $194.48 | $194.48 | |
Aetna
| Professional | $120.01 | $144.38 | $199.97 | |
Anthem BCBS
| Professional | $126.47 | $184.30 | $298.64 | |
Cigna
| Professional | $153.34 | $251.08 | $499.62 | |
Harvard Pilgrim
| Professional | $144.79 | $238.18 | $446.89 | |
United
| Professional | $153.26 | $220.15 | $510.94 | |
Well Sense
| Professional | $125.83 | $161.88 | $3,375.00 |