| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.89 | $1,749.77 | $8,965.00 | |
Aetna
| Professional | $41.78 | $64.19 | $91.66 | |
Anthem BCBS
| Professional | $54.02 | $96.88 | $171.26 | |
Cigna
| Professional | $59.60 | $119.98 | $237.73 | |
Harvard Pilgrim
| Professional | $68.40 | $150.33 | $287.69 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $114.16 | $170.36 | $328.01 | |
Well Sense
| Professional | $45.00 | $63.00 | $88.78 |