| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $173.78 | $208.93 | |
Aetna
| Professional | $43.65 | $54.95 | $83.18 | |
Anthem BCBS
| Professional | $46.77 | $87.10 | $128.82 | |
Cigna
| Professional | $64.57 | $97.72 | $158.49 | |
Harvard Pilgrim
| Professional | $45.71 | $81.28 | $144.54 | |
United
| Professional | $70.79 | $95.50 | $169.82 | |
Well Sense
| Facility | $51.29 | $51.29 | $51.29 |