| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.00 | $621.00 | $621.00 | |
Aetna
| Professional | $170.68 | $200.49 | $244.45 | |
Anthem BCBS
| Professional | $193.76 | $248.59 | $372.71 | |
Cigna
| Professional | $237.68 | $237.68 | $244.22 | |
Harvard Pilgrim
| Professional | $221.81 | $622.64 | $789.18 | |
United
| Professional | $237.59 | $297.70 | $573.80 | |
Well Sense
| Professional | $170.42 | $204.50 | $300.62 |