| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.76 | $164.76 | $164.76 | |
Aetna
| Professional | $42.47 | $50.46 | $61.06 | |
Anthem BCBS
| Professional | $43.67 | $56.03 | $84.00 | |
Cigna
| Professional | $53.62 | $53.62 | $64.58 | |
Harvard Pilgrim
| Professional | $49.99 | $140.33 | $177.86 | |
United
| Professional | $58.36 | $73.18 | $141.05 | |
Well Sense
| Professional | $40.38 | $49.00 | $70.14 |