| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.89 | $873.93 | $2,331.21 | |
Aetna
| Professional | $151.28 | $185.65 | $245.52 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $166.26 | $277.99 | $457.95 | |
Cigna
| Professional | $192.71 | $353.41 | $606.95 | |
Harvard Pilgrim
| Professional | $216.86 | $438.45 | $760.89 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $221.86 | $420.40 | $858.35 | |
Well Sense
| Professional | $136.22 | $196.97 | $270.64 |