| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $933.25 | $8,912.51 | |
Aetna
| Professional | $72.44 | $239.88 | $524.81 | |
Anthem BCBS
| Professional | $69.18 | $173.78 | $691.83 | |
Cigna
| Professional | $123.03 | $426.58 | $1,258.93 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $83.18 | $346.74 | $870.96 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $114.82 | $346.74 | $1,174.90 |