| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.32 | $368.32 | $441.98 | |
Aetna
| Professional | $170.45 | $274.14 | $368.32 | |
Anthem BCBS
| Facility | $374.81 | $374.81 | $444.30 | |
Anthem BCBS
| Professional | $327.38 | $327.38 | $327.38 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $382.03 | |
Harvard Pilgrim
| Professional | $508.03 | $508.03 | $1,568.03 | |
United
| Professional | $181.95 | $313.04 | $431.12 | |
Well Sense
| Professional | $409.96 | $450.96 | $573.94 |