| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.24 | $724.68 | $2,331.21 | |
Aetna
| Professional | $121.67 | $161.16 | $263.38 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $133.27 | $229.79 | $385.08 | |
Cigna
| Professional | $154.63 | $298.25 | $515.05 | |
Harvard Pilgrim
| Professional | $173.83 | $359.59 | $642.40 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $200.19 | $312.13 | $722.98 | |
Well Sense
| Professional | $108.99 | $162.61 | $227.65 |