| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $1,819.70 | $9,772.37 | |
Aetna
| Professional | $102.33 | $154.88 | $426.58 | |
Anthem BCBS
| Facility | $1,288.25 | $1,412.54 | $2,630.27 | |
Anthem BCBS
| Professional | $100.00 | $199.53 | $338.84 | |
Cigna
| Professional | $128.82 | $213.80 | $446.68 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $120.23 | $234.42 | $457.09 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $131.83 | $245.47 | $446.68 | |
Well Sense
| Facility | $190.55 | $190.55 | $234.42 |