| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.92 | $101.92 | $101.92 | |
Aetna
| Professional | $86.45 | $100.86 | $120.95 | |
Anthem BCBS
| Professional | $100.92 | $118.23 | $189.98 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Harvard Pilgrim
| Professional | $115.53 | $175.21 | $354.13 | |
United
| Professional | $115.20 | $159.60 | $315.27 | |
Well Sense
| Professional | $91.42 | $110.23 | $157.41 |