| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.59 | $60.31 | $346.50 | |
Aetna
| Professional | $35.59 | $37.42 | $97.38 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $27.93 | $33.52 | $46.99 | |
Cigna
| Professional | $40.10 | $126.37 | $234.53 | |
Harvard Pilgrim
| Professional | $92.58 | $182.45 | $329.39 | |
United
| Professional | $42.36 | $86.51 | $96.12 | |
Well Sense
| Professional | $58.22 | $2,875.00 | $4,410.00 |