| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.81 | $158.16 | $188.21 | |
Aetna
| Professional | $119.33 | $119.33 | $131.81 | |
Anthem BCBS
| Professional | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Harvard Pilgrim
| Professional | $266.36 | $328.87 | $646.50 | |
United
| Professional | $172.57 | $194.25 | $452.82 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |