| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.56 | $84.43 | $84.43 |
Aetna
| Professional | $138.94 | $162.37 | $206.34 | |
Anthem BCBS
| Professional | $148.79 | $216.71 | $338.75 | |
Cigna
| Professional | $145.07 | $258.62 | $538.52 | |
Harvard Pilgrim
| Professional | $170.34 | $283.62 | $525.75 | |
United
| Professional | $135.75 | $242.27 | $483.58 | |
Well Sense
| Professional | $112.93 | $124.22 | $158.10 |