| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,820.00 | $3,999.13 | $11,375.00 | |
Aetna
| Professional | $1,137.50 | $1,267.50 | $1,316.25 | |
Anthem BCBS
| Facility | $2,673.13 | $3,145.68 | $7,345.00 | |
Anthem BCBS
| Professional | $650.00 | $1,056.25 | $1,192.75 | |
Cigna
| Facility | $3,006.09 | $6,663.70 | $7,014.37 | |
Cigna
| Professional | $841.69 | $1,867.59 | $6,752.63 | |
Harvard Pilgrim
| Professional | $1,625.00 | $2,358.52 | $5,352.91 | |
United
| Professional | $682.50 | $975.00 | $975.00 | |
Well Sense
| Professional | $1,200.64 | $1,620.86 | $3,375.00 |