| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.09 | $200.09 | $200.09 | |
Aetna
| Professional | $118.64 | $193.29 | $231.95 | |
Anthem BCBS
| Professional | $198.09 | $247.84 | $389.14 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Harvard Pilgrim
| Professional | $228.10 | $358.41 | $704.03 | |
United
| Professional | $222.04 | $308.42 | $613.99 | |
Well Sense
| Professional | $148.50 | $163.35 | $207.90 |