| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $293.92 | $2,331.21 | |
Aetna
| Professional | $39.27 | $60.81 | $89.48 | |
Anthem BCBS
| Professional | $48.02 | $103.04 | $183.57 | |
Cigna
| Professional | $55.37 | $111.33 | $196.63 | |
Harvard Pilgrim
| Professional | $60.62 | $131.57 | $246.87 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $91.41 | $125.13 | $274.33 | |
Well Sense
| Professional | $44.07 | $61.80 | $89.22 |