| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.01 | $260.01 | $260.01 | |
Anthem BCBS
| Professional | $63.26 | $63.26 | $63.26 | |
Cigna
| Facility | $22,603.08 | $45,968.59 | $61,917.44 | |
Harvard Pilgrim
| Professional | $13,452.80 | $29,191.08 | $47,498.97 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |