| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.06 | $248.06 | $248.06 | |
Aetna
| Professional | $63.52 | $76.33 | $92.72 | |
Anthem BCBS
| Professional | $74.06 | $95.04 | $142.49 | |
Cigna
| Professional | $90.93 | $90.93 | $97.36 | |
Harvard Pilgrim
| Professional | $84.80 | $238.04 | $301.70 | |
United
| Professional | $89.81 | $112.54 | $216.92 | |
Well Sense
| Professional | $60.80 | $75.29 | $106.29 |