| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.39 | $233.77 | $664.93 | |
Aetna
| Professional | $74.09 | $137.74 | $137.74 | |
Anthem BCBS
| Facility | $156.26 | $183.88 | $472.98 | |
Anthem BCBS
| Professional | $38.00 | $61.74 | $61.74 | |
Cigna
| Facility | $171.51 | $358.96 | $410.23 | |
Cigna
| Professional | $49.15 | $185.53 | $394.57 | |
Harvard Pilgrim
| Professional | $94.99 | $137.87 | $312.91 | |
United
| Professional | $39.90 | $56.99 | $120.18 | |
Well Sense
| Professional | $78.02 | $99.30 | $3,375.00 |