| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.09 | $169.09 | $966.73 | |
Aetna
| Professional | $141.26 | $169.09 | $202.01 | |
Anthem BCBS
| Professional | $223.51 | $257.26 | $454.78 | |
Cigna
| Facility | $125.00 | $241.80 | $241.80 | |
Cigna
| Professional | $202.05 | $279.06 | $534.97 | |
Harvard Pilgrim
| Professional | $255.88 | $383.82 | $789.77 | |
United
| Professional | $202.05 | $304.41 | $563.38 | |
Well Sense
| Professional | $151.55 | $181.86 | $267.33 |