| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.81 | $522.96 | $2,331.21 | |
Aetna
| Professional | $84.24 | $136.33 | $350.19 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $94.45 | $165.99 | $282.77 | |
Cigna
| Professional | $109.68 | $213.16 | $376.01 | |
Harvard Pilgrim
| Professional | $123.20 | $255.71 | $469.85 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $187.33 | $226.71 | $527.22 | |
Well Sense
| Professional | $75.47 | $118.36 | $165.70 |