| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $142.04 | $2,331.21 | |
Aetna
| Professional | $78.12 | $84.06 | $99.17 | |
Anthem BCBS
| Facility | $3,302.10 | $3,669.00 | $6,000.00 | |
Anthem BCBS
| Professional | $79.56 | $142.72 | $228.34 | |
Cigna
| Professional | $103.50 | $157.53 | $242.89 | |
Harvard Pilgrim
| Professional | $91.09 | $157.57 | $281.14 | |
United
| Facility | $451.00 | $3,360.00 | $7,448.00 | |
United
| Professional | $94.81 | $129.40 | $240.21 | |
Well Sense
| Professional | $64.50 | $77.40 | $113.78 |