| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,819.70 | $9,772.37 | |
Aetna
| Professional | $173.78 | $380.19 | $1,047.13 | |
Ambetter
| Professional | $380.19 | $467.74 | $1,348.96 | |
Anthem BCBS
| Professional | $151.36 | $467.74 | $1,071.52 | |
Cigna
| Professional | $204.17 | $457.09 | $1,023.29 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $186.21 | $478.63 | $1,047.13 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $208.93 | $478.63 | $1,000.00 | |
Well Sense
| Facility | $436.52 | $436.52 | $537.03 |