| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.43 | $142.19 | $170.63 | |
Aetna
| Professional | $100.74 | $130.16 | $152.22 | |
Anthem BCBS
| Professional | $116.77 | $150.41 | $227.85 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Harvard Pilgrim
| Professional | $103.79 | $187.31 | $330.27 | |
United
| Professional | $167.70 | $187.80 | $331.76 | |
Well Sense
| Professional | $149.63 | $164.60 | $209.50 |