| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.80 | $501.80 | $501.80 | |
Aetna
| Professional | $135.97 | $156.63 | $197.61 | |
Anthem BCBS
| Professional | $177.91 | $228.25 | $342.21 | |
Cigna
| Professional | $197.27 | $218.18 | $224.20 | |
Harvard Pilgrim
| Professional | $203.67 | $571.72 | $724.64 | |
United
| Professional | $191.74 | $240.31 | $463.19 | |
Well Sense
| Professional | $137.61 | $165.13 | $242.74 |