| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.37 | $369.96 | $1,052.31 | |
Aetna
| Professional | $100.00 | $100.00 | $117.26 | |
Anthem BCBS
| Facility | $247.29 | $291.01 | $748.54 | |
Anthem BCBS
| Professional | $60.13 | $97.71 | $97.71 | |
Cigna
| Facility | $278.08 | $568.09 | $649.54 | |
Cigna
| Professional | $77.94 | $293.64 | $624.51 | |
Harvard Pilgrim
| Professional | $150.33 | $218.19 | $495.20 | |
United
| Professional | $63.14 | $90.20 | $150.33 | |
Well Sense
| Professional | $123.48 | $157.15 | $3,375.00 |