| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $95.50 | $123.03 | |
Anthem BCBS
| Professional | $169.82 | $177.83 | $177.83 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
Harvard Pilgrim
| Professional | $114.82 | $114.82 | $114.82 | |
United
| Professional | $60.26 | $66.07 | $114.82 | |
Well Sense
| Facility | $93.33 | $93.33 | $93.33 | |
Well Sense
| Professional | $93.33 | $93.33 | $93.33 |