| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.55 | $607.66 | $1,728.44 | |
Aetna
| Professional | $143.94 | $166.56 | $166.56 | |
Anthem BCBS
| Facility | $318.64 | $477.99 | $1,116.08 | |
Anthem BCBS
| Professional | $116.22 | $160.49 | $170.37 | |
Cigna
| Facility | $349.78 | $728.77 | $849.77 | |
Cigna
| Professional | $120.29 | $283.73 | $354.66 | |
Harvard Pilgrim
| Professional | $335.12 | $438.83 | $878.52 | |
United
| Professional | $81.36 | $116.23 | $123.38 | |
Well Sense
| Professional | $144.63 | $159.10 | $202.50 |