| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $60.26 | $75.86 | |
Anthem BCBS
| Professional | $97.72 | $102.33 | $102.33 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Harvard Pilgrim
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Professional | $25.70 | $38.90 | $67.61 | |
Well Sense
| Facility | $54.95 | $54.95 | $54.95 | |
Well Sense
| Professional | $54.95 | $54.95 | $54.95 |