| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.40 | $358.97 | $358.97 | |
Aetna
| Professional | $73.34 | $98.64 | $267.24 | |
Anthem BCBS
| Facility | $354.07 | $444.97 | $494.31 | |
Anthem BCBS
| Professional | $83.78 | $123.00 | $172.45 | |
Cigna
| Facility | $576.23 | $576.23 | $576.23 | |
Cigna
| Professional | $109.29 | $168.20 | $271.56 | |
Harvard Pilgrim
| Professional | $95.91 | $158.11 | $296.02 | |
United
| Professional | $100.87 | $118.97 | $178.52 | |
Well Sense
| Professional | $72.39 | $86.87 | $127.70 |