| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.75 | $25.00 | $28.50 | |
Aetna
| Professional | $21.25 | $23.75 | $35.00 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Harvard Pilgrim
| Professional | $19.84 | $35.79 | $63.12 | |
United
| Professional | $31.05 | $35.10 | $61.55 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |