| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $817.65 | $8,965.00 | |
Aetna
| Professional | $88.26 | $205.89 | $444.88 | |
Anthem BCBS
| Professional | $142.41 | $287.22 | $530.94 | |
Cigna
| Professional | $270.33 | $510.02 | $869.57 | |
Harvard Pilgrim
| Professional | $208.70 | $436.00 | $931.91 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
United
| Professional | $424.01 | $579.65 | $1,177.42 | |
Well Sense
| Professional | $115.14 | $246.40 | $434.65 |