| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $89.13 | $125.89 | |
Anthem BCBS
| Professional | $154.88 | $162.18 | $162.18 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Harvard Pilgrim
| Professional | $134.90 | $134.90 | $134.90 | |
United
| Professional | $51.29 | $77.62 | $134.90 | |
Well Sense
| Facility | $109.65 | $109.65 | $109.65 | |
Well Sense
| Professional | $109.65 | $109.65 | $109.65 |