| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.01 | $110.01 | $135.37 | |
Aetna
| Professional | $110.01 | $110.01 | $110.01 | |
Anthem BCBS
| Professional | $111.85 | $111.85 | $111.85 | |
Harvard Pilgrim
| Professional | $117.34 | $181.63 | $345.19 | |
United
| Professional | $129.41 | $129.41 | $129.41 | |
Well Sense
| Professional | $110.01 | $121.01 | $154.01 |