| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,337.76 | $9,531.45 | $27,111.00 | |
Aetna
| Professional | $2,711.10 | $2,711.10 | $3,137.13 | |
Anthem BCBS
| Facility | $6,371.09 | $7,079.84 | $15,104.70 | |
Anthem BCBS
| Professional | $1,148.40 | $2,517.44 | $2,517.44 | |
Cigna
| Facility | $6,993.48 | $14,158.51 | $16,990.27 | |
Harvard Pilgrim
| Professional | $3,873.00 | $5,621.27 | $12,758.05 | |
United
| Professional | $1,626.66 | $2,323.80 | $3,873.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |