| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $74.13 | $114.82 | |
Anthem BCBS
| Professional | $134.90 | $141.25 | $141.25 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
Harvard Pilgrim
| Professional | $102.33 | $102.33 | $102.33 | |
United
| Professional | $38.90 | $58.88 | $102.33 | |
Well Sense
| Facility | $83.18 | $83.18 | $83.18 | |
Well Sense
| Professional | $83.18 | $83.18 | $83.18 |