| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.22 | $228.28 | $494.18 | |
Aetna
| Professional | $87.83 | $100.20 | $111.10 | |
Anthem BCBS
| Professional | $93.80 | $116.26 | $168.57 | |
Cigna
| Facility | $125.00 | $125.00 | $125.00 | |
Cigna
| Professional | $86.71 | $120.21 | $227.60 | |
Harvard Pilgrim
| Professional | $107.39 | $168.74 | $353.75 | |
United
| Professional | $91.24 | $150.28 | $273.95 | |
Well Sense
| Professional | $75.50 | $93.70 | $141.51 |