| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.41 | $736.43 | $2,331.21 | |
Aetna
| Professional | $108.72 | $159.07 | $229.85 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $133.91 | $232.70 | $393.51 | |
Cigna
| Professional | $155.38 | $303.61 | $523.52 | |
Harvard Pilgrim
| Professional | $174.67 | $362.52 | $653.83 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $203.74 | $306.60 | $735.94 | |
Well Sense
| Professional | $110.74 | $165.48 | $231.67 |