| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.88 | $300.77 | $855.54 | |
Aetna
| Professional | $95.33 | $105.62 | $122.22 | |
Anthem BCBS
| Facility | $201.05 | $236.59 | $608.57 | |
Anthem BCBS
| Professional | $48.89 | $79.44 | $79.44 | |
Cigna
| Facility | $226.09 | $461.86 | $631.54 | |
Cigna
| Professional | $63.37 | $232.30 | $507.50 | |
Harvard Pilgrim
| Professional | $122.22 | $177.39 | $434.85 | |
United
| Professional | $51.33 | $73.33 | $90.53 | |
Well Sense
| Professional | $111.49 | $133.79 | $196.67 |