| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Aetna
| Professional | $101.83 | $148.08 | $345.42 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $103.19 | $177.69 | $284.27 | |
Cigna
| Facility | $180.85 | $1,751.69 | $1,812.99 | |
Cigna
| Professional | $146.19 | $320.66 | $666.80 | |
Harvard Pilgrim
| Professional | $128.94 | $307.56 | $727.32 | |
United
| Facility | $8,035.00 | $8,035.00 | $8,035.00 | |
United
| Professional | $292.05 | $388.11 | $720.27 | |
Well Sense
| Professional | $81.22 | $189.40 | $299.16 |