| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $776.25 | $1,096.48 | |
Aetna
| Professional | $501.19 | $776.25 | $933.25 | |
Anthem BCBS
| Professional | $56.23 | $89.13 | $1,071.52 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Harvard Pilgrim
| Professional | $102.33 | $1,174.90 | $2,818.38 | |
United
| Professional | $138.04 | $1,202.26 | $2,818.38 | |
Well Sense
| Facility | $3,388.44 | $3,388.44 | $4,168.69 |