| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $41.69 | $48.98 | $67.61 | |
Anthem BCBS
| Professional | $46.77 | $87.10 | $123.03 | |
Cigna
| Professional | $58.88 | $87.10 | $141.25 | |
Harvard Pilgrim
| Professional | $42.66 | $63.10 | $100.00 | |
United
| Professional | $51.29 | $77.62 | $147.91 | |
Well Sense
| Facility | $39.81 | $39.81 | $39.81 |