| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $32.36 | $40.74 | |
Anthem BCBS
| Professional | $53.70 | $54.95 | $54.95 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Harvard Pilgrim
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $13.49 | $20.42 | $35.48 | |
Well Sense
| Facility | $28.84 | $28.84 | $28.84 | |
Well Sense
| Professional | $28.84 | $28.84 | $28.84 |