| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $117.49 | $141.25 | |
Aetna
| Professional | $112.20 | $154.88 | $204.17 | |
Anthem BCBS
| Professional | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Harvard Pilgrim
| Professional | $204.17 | $204.17 | $331.13 | |
United
| Professional | $91.20 | $125.89 | $204.17 | |
Well Sense
| Facility | $147.91 | $147.91 | $234.42 |