| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $1,819.70 | $9,772.37 | |
Aetna
| Professional | $75.86 | $112.20 | $234.42 | |
Anthem BCBS
| Facility | $1,288.25 | $1,412.54 | $2,630.27 | |
Anthem BCBS
| Professional | $74.13 | $154.88 | $269.15 | |
Cigna
| Professional | $95.50 | $169.82 | $354.81 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $91.20 | $181.97 | $363.08 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $100.00 | $186.21 | $354.81 | |
Well Sense
| Facility | $147.91 | $147.91 | $181.97 |