| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.51 | $218.51 | $262.20 | |
Aetna
| Professional | $140.03 | $169.55 | $219.17 | |
Anthem BCBS
| Facility | $388.06 | $388.06 | $460.01 | |
Anthem BCBS
| Professional | $177.26 | $177.26 | $185.73 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $132.76 | $181.86 | |
Harvard Pilgrim
| Professional | $314.19 | $314.19 | $969.75 | |
United
| Facility | $89.50 | $151.10 | $169.40 | |
United
| Professional | $129.06 | $193.60 | $229.87 | |
Well Sense
| Professional | $290.64 | $319.70 | $406.90 |