| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.93 | $27.93 | $27.93 | |
Aetna
| Professional | $7.05 | $9.40 | $18.43 | |
Cigna
| Professional | $11.03 | $26.56 | $52.05 | |
Harvard Pilgrim
| Professional | $22.96 | $37.77 | $70.87 | |
Optum
| Professional | $12.97 | $20.88 | $25.21 | |
United
| Professional | $11.88 | $17.52 | $30.68 | |
Well Sense
| Professional | $7.15 | $9.27 | $14.24 |