| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.05 | $1.05 | $1.05 | |
Aetna
| Professional | $1.00 | $1.05 | $2.75 | |
Anthem BCBS
| Facility | $1.20 | $1.78 | $3.09 | |
Anthem BCBS
| Professional | $0.85 | $0.85 | $0.98 | |
Harvard Pilgrim
| Professional | $134.90 | $134.90 | $181.97 | |
United
| Professional | $134.90 | $134.90 | $134.90 | |
Well Sense
| Facility | $0.87 | $1.20 | $1.38 |