| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.83 | $188.83 | $226.60 | |
Aetna
| Professional | $138.02 | $146.53 | $188.83 | |
Anthem BCBS
| Facility | $335.36 | $335.36 | $397.54 | |
Anthem BCBS
| Professional | $183.63 | $183.63 | $196.33 | |
Cigna
| Facility | $192.25 | $192.25 | $192.25 | |
Cigna
| Professional | $140.34 | $140.34 | $192.25 | |
Harvard Pilgrim
| Professional | $271.52 | $271.52 | $838.05 | |
United
| Professional | $111.54 | $167.30 | $214.22 | |
Well Sense
| Professional | $219.10 | $241.01 | $306.74 |