| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.86 | $171.09 | $486.64 | |
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Anthem BCBS
| Facility | $114.36 | $134.58 | $314.23 | |
Anthem BCBS
| Professional | $27.81 | $45.18 | $51.02 | |
Cigna
| Facility | $128.61 | $290.47 | $299.91 | |
Cigna
| Professional | $35.97 | $40.67 | $100.15 | |
Harvard Pilgrim
| Professional | $94.35 | $123.55 | $247.35 | |
United
| Professional | $29.20 | $41.71 | $153.24 | |
Well Sense
| Professional | $57.10 | $71.43 | $3,000.00 |