| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.37 | $2,638.22 | $3,234.53 | |
Aetna
| Professional | $204.19 | $204.19 | $325.08 | |
Anthem BCBS
| Facility | $685.60 | $806.80 | $2,075.27 | |
Anthem BCBS
| Professional | $166.71 | $270.89 | $270.91 | |
Cigna
| Facility | $771.01 | $1,575.07 | $2,153.88 | |
Cigna
| Professional | $215.91 | $814.40 | $1,732.04 | |
Harvard Pilgrim
| Professional | $416.78 | $604.91 | $1,482.86 | |
United
| Professional | $175.02 | $250.07 | $416.78 | |
Well Sense
| Professional | $261.37 | $437.21 | $670.64 |