| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.81 | $170.72 | $170.72 | |
Aetna
| Professional | $44.73 | $54.29 | $67.09 | |
Anthem BCBS
| Professional | $51.43 | $60.21 | $101.73 | |
Cigna
| Professional | $54.68 | $79.27 | $132.07 | |
Harvard Pilgrim
| Professional | $48.21 | $85.46 | $136.30 | |
United
| Professional | $66.00 | $82.17 | $157.85 | |
Well Sense
| Professional | $43.56 | $50.88 | $76.84 |