| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.15 | $1,496.71 | $4,257.18 | |
Aetna
| Professional | $425.72 | $425.72 | $492.62 | |
Anthem BCBS
| Facility | $1,000.44 | $1,111.73 | $2,371.86 | |
Anthem BCBS
| Professional | $25.58 | $395.31 | $395.31 | |
Cigna
| Facility | $1,098.17 | $2,222.89 | $2,667.95 | |
Harvard Pilgrim
| Professional | $608.16 | $825.41 | $1,877.12 | |
United
| Professional | $255.43 | $364.90 | $608.16 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |