| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $64.57 | $112.20 | |
Anthem BCBS
| Professional | $63.10 | $120.23 | $165.96 | |
Cigna
| Professional | $77.62 | $109.65 | $177.83 | |
Harvard Pilgrim
| Professional | $72.44 | $102.33 | $165.96 | |
United
| Professional | $72.44 | $109.65 | $190.55 | |
Well Sense
| Facility | $53.70 | $74.13 | $91.20 |