| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.58 | $757.39 | $2,341.64 | |
Aetna
| Professional | $104.65 | $164.61 | $237.08 | |
Anthem BCBS
| Professional | $130.36 | $226.23 | $382.25 | |
Cigna
| Professional | $150.38 | $300.29 | $512.85 | |
Harvard Pilgrim
| Professional | $165.07 | $343.77 | $623.32 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $235.50 | $342.94 | $740.61 | |
Well Sense
| Professional | $118.75 | $173.79 | $233.49 |