| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.95 | $694.03 | $2,331.21 | |
Aetna
| Professional | $107.12 | $148.97 | $182.75 | |
Anthem BCBS
| Professional | $158.50 | $228.46 | $335.41 | |
Cigna
| Professional | $172.80 | $288.37 | $437.61 | |
Harvard Pilgrim
| Professional | $197.74 | $376.31 | $597.71 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $207.26 | $296.61 | $611.67 | |
Well Sense
| Professional | $129.04 | $150.72 | $180.66 |