| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $75.86 | |
Aetna
| Professional | $63.10 | $95.50 | $131.83 | |
Anthem BCBS
| Professional | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
Harvard Pilgrim
| Professional | $131.83 | $131.83 | $213.80 | |
United
| Professional | $58.88 | $83.18 | $131.83 | |
Well Sense
| Facility | $97.72 | $97.72 | $154.88 |