| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.31 | $159.31 | $465.27 | |
Aetna
| Professional | $22.85 | $159.31 | $425.04 | |
Anthem BCBS
| Professional | $12.22 | $21.74 | $323.14 | |
Cigna
| Professional | $25.35 | $84.44 | $971.06 | |
Harvard Pilgrim
| Professional | $26.58 | $358.50 | $1,038.43 | |
United
| Professional | $83.01 | $320.81 | $405.43 | |
Well Sense
| Professional | $19.22 | $301.38 | $3,000.00 |