| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.34 | $40.34 | $40.34 | |
Aetna
| Professional | $40.34 | $40.34 | $40.34 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Harvard Pilgrim
| Professional | $42.20 | $67.40 | $132.49 | |
United
| Professional | $37.40 | $47.85 | $77.93 | |
Well Sense
| Professional | $40.27 | $44.30 | $56.38 |