| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,749.77 | $8,965.00 | |
Aetna
| Professional | $123.50 | $134.61 | $156.65 | |
Anthem BCBS
| Professional | $125.83 | $225.70 | $361.09 | |
Cigna
| Facility | $5,257.46 | $5,257.46 | $5,441.47 | |
Cigna
| Professional | $165.59 | $252.22 | $384.76 | |
Harvard Pilgrim
| Professional | $144.05 | $249.18 | $444.61 | |
United
| Facility | $75.00 | $3,360.00 | $7,448.00 | |
United
| Professional | $153.02 | $223.43 | $441.56 | |
Well Sense
| Professional | $102.12 | $122.54 | $179.95 |