| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $300.00 | $300.00 | |
Aetna
| Professional | $299.74 | $300.00 | $369.32 | |
Anthem BCBS
| Professional | $74.48 | $95.88 | $95.88 | |
Harvard Pilgrim
| Professional | $139.22 | $229.03 | $429.73 | |
United
| Professional | $426.78 | $426.78 | $426.78 | |
Well Sense
| Professional | $121.31 | $145.57 | $213.99 |