| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $81.28 | $102.33 | $123.03 | |
Anthem BCBS
| Professional | $109.65 | $134.90 | $190.55 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Harvard Pilgrim
| Professional | $120.23 | $173.78 | $281.84 | |
United
| Professional | $112.20 | $158.49 | $281.84 | |
Well Sense
| Facility | $83.18 | $117.49 | $141.25 | |
Well Sense
| Professional | $95.50 | $95.50 | $95.50 |