| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.93 | $115.93 | $119.45 | |
Aetna
| Professional | $31.58 | $38.35 | $59.63 | |
Anthem BCBS
| Professional | $38.61 | $49.86 | $69.90 | |
Cigna
| Professional | $38.04 | $62.31 | $89.53 | |
Harvard Pilgrim
| Professional | $35.88 | $59.42 | $115.89 | |
Optum
| Professional | $25.57 | $34.00 | $38.00 | |
United
| Professional | $37.71 | $60.33 | $134.38 | |
Well Sense
| Professional | $29.77 | $35.72 | $49.96 |