| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $67.61 | |
Aetna
| Professional | $48.98 | $64.57 | $77.62 | |
Anthem BCBS
| Professional | $64.57 | $67.61 | $85.11 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Harvard Pilgrim
| Professional | $54.95 | $79.43 | $154.88 | |
Optum
| Professional | $53.70 | $53.70 | $53.70 | |
United
| Professional | $69.18 | $95.50 | $165.96 | |
Well Sense
| Facility | $52.48 | $52.48 | $52.48 |