| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,021.00 | $1,479.33 | $4,057.83 | |
Aetna
| Professional | $560.00 | $751.10 | $1,479.33 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $3.23 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Harvard Pilgrim
| Professional | $1,410.89 | $2,371.46 | $3,328.36 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |