| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.71 | $644.19 | $2,341.64 | |
Aetna
| Professional | $32.93 | $109.16 | $182.70 | |
Anthem BCBS
| Professional | $58.14 | $109.65 | $235.54 | |
Cigna
| Professional | $66.03 | $136.26 | $346.67 | |
Harvard Pilgrim
| Professional | $56.16 | $139.26 | $355.58 | |
United
| Facility | $3,360.00 | $3,360.00 | $7,448.00 | |
United
| Professional | $74.81 | $211.19 | $467.32 | |
Well Sense
| Professional | $41.68 | $110.64 | $192.27 |