| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.00 | $69.00 | $69.00 | |
Aetna
| Professional | $31.37 | $42.08 | $58.96 | |
Anthem BCBS
| Professional | $49.75 | $71.03 | $106.49 | |
Cigna
| Professional | $49.26 | $72.26 | $145.46 | |
Harvard Pilgrim
| Professional | $49.13 | $85.56 | $147.12 | |
United
| Professional | $55.86 | $71.61 | $126.68 | |
Well Sense
| Professional | $26.93 | $34.51 | $46.69 |