| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,819.70 | $9,772.37 | |
Aetna
| Professional | $107.15 | $144.54 | $346.74 | |
Anthem BCBS
| Professional | $102.33 | $199.53 | $316.23 | |
Cigna
| Professional | $151.36 | $257.04 | $407.38 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $123.03 | $229.09 | $436.52 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $141.25 | $239.88 | $436.52 | |
Well Sense
| Facility | $173.78 | $173.78 | $213.80 |