| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.33 | $611.58 | $1,739.57 | |
Anthem BCBS
| Facility | $408.80 | $454.28 | $969.19 | |
Anthem BCBS
| Professional | $99.40 | $161.53 | $161.53 | |
Cigna
| Facility | $448.73 | $908.55 | $1,090.17 | |
Harvard Pilgrim
| Professional | $248.51 | $337.28 | $767.03 | |
United
| Professional | $104.37 | $149.11 | $149.11 | |
Well Sense
| Professional | $185.56 | $259.77 | $3,375.00 |