| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $564.48 | $1,240.33 | $3,528.00 | |
Aetna
| Professional | $352.80 | $408.24 | $408.24 | |
Anthem BCBS
| Facility | $829.08 | $975.64 | $2,278.08 | |
Anthem BCBS
| Professional | $201.60 | $327.60 | $369.93 | |
Cigna
| Facility | $932.35 | $2,066.71 | $2,175.48 | |
Cigna
| Professional | $261.02 | $579.03 | $2,093.94 | |
Harvard Pilgrim
| Professional | $504.00 | $731.51 | $1,660.23 | |
United
| Professional | $211.68 | $302.39 | $302.39 | |
Well Sense
| Professional | $372.38 | $502.71 | $3,375.00 |