| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.00 | $369.15 | $1,050.00 | |
Aetna
| Professional | $105.00 | $105.00 | $121.50 | |
Anthem BCBS
| Professional | $60.00 | $97.50 | $97.50 | |
Cigna
| Facility | $270.86 | $548.24 | $658.03 | |
Harvard Pilgrim
| Professional | $150.00 | $203.58 | $462.98 | |
United
| Professional | $63.00 | $90.00 | $150.00 | |
Well Sense
| Professional | $111.21 | $123.21 | $156.81 |