| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $426.58 | $426.58 | $426.58 |
Aetna
| Professional | $162.18 | $204.17 | $457.09 | |
Anthem BCBS
| Professional | $213.80 | $295.12 | $467.74 | |
Cigna
| Professional | $162.18 | $338.84 | $660.69 | |
Harvard Pilgrim
| Professional | $234.42 | $354.81 | $575.44 | |
United
| Professional | $204.17 | $309.03 | $575.44 | |
Well Sense
| Facility | 26 | $93.33 | $93.33 | $109.65 |