| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.16 | $169.96 | $190.36 | |
Aetna
| Professional | $169.96 | $169.96 | $169.96 | |
Anthem BCBS
| Facility | $199.35 | $250.13 | $686.31 | |
Anthem BCBS
| Professional | $170.09 | $170.09 | $170.09 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Harvard Pilgrim
| Professional | $178.32 | $276.02 | $524.58 | |
United
| Professional | $166.75 | $166.75 | $199.95 | |
Well Sense
| Professional | $144.41 | $168.67 | $254.74 |