| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.70 | $68.70 | $84.55 | |
Aetna
| Professional | $68.70 | $68.70 | $68.70 | |
Anthem BCBS
| Professional | $71.41 | $71.41 | $71.41 | |
Harvard Pilgrim
| Professional | $74.92 | $115.97 | $220.41 | |
United
| Professional | $80.84 | $80.84 | $80.84 | |
Well Sense
| Professional | $68.70 | $75.58 | $96.19 |