| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.10 | $160.10 | $192.12 | |
Aetna
| Professional | $160.10 | $170.02 | $176.77 | |
Anthem BCBS
| Facility | $421.88 | $494.61 | $549.54 | |
Anthem BCBS
| Professional | $226.16 | $226.16 | $226.16 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
Harvard Pilgrim
| Professional | $417.24 | $677.60 | $1,374.43 | |
United
| Professional | $154.19 | $231.28 | $501.11 | |
Well Sense
| Professional | $311.79 | $364.17 | $550.00 |