| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.12 | $328.34 | $9,859.00 | |
Aetna
| Professional | $38.36 | $97.47 | $193.79 | |
Anthem BCBS
| Professional | $55.76 | $96.76 | $306.07 | |
Cigna
| Professional | $89.62 | $221.77 | $577.36 | |
Harvard Pilgrim
| Professional | $61.60 | $192.34 | $576.91 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $284.52 | $366.81 | $716.24 | |
Well Sense
| Professional | $40.19 | $56.27 | $201.61 |