| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.07 | $183.07 | $183.07 | |
Aetna
| Professional | $114.40 | $182.10 | $223.68 | |
Anthem BCBS
| Professional | $182.43 | $228.40 | $359.31 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Harvard Pilgrim
| Professional | $208.85 | $328.17 | $644.62 | |
United
| Professional | $209.71 | $297.43 | $568.33 | |
Well Sense
| Professional | $143.19 | $157.52 | $200.48 |