| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $57.54 | $72.44 | |
Anthem BCBS
| Professional | $100.00 | $104.71 | $104.71 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
Harvard Pilgrim
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $28.84 | $43.65 | $75.86 | |
Well Sense
| Facility | $61.66 | $61.66 | $61.66 | |
Well Sense
| Professional | $61.66 | $61.66 | $61.66 |