| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $46.77 | $58.88 | |
Anthem BCBS
| Professional | $79.43 | $83.18 | $83.18 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Harvard Pilgrim
| Professional | $53.70 | $53.70 | $53.70 | |
United
| Professional | $20.42 | $30.20 | $53.70 | |
Well Sense
| Facility | $43.65 | $43.65 | $43.65 | |
Well Sense
| Professional | $43.65 | $43.65 | $43.65 |