| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $229.09 | |
Aetna
| Professional | $138.04 | $177.83 | $295.12 | |
Anthem BCBS
| Facility | $346.74 | $363.08 | $416.87 | |
Anthem BCBS
| Professional | $186.21 | $186.21 | $190.55 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $141.25 | $141.25 | $194.98 | |
Harvard Pilgrim
| Professional | $295.12 | $295.12 | $512.86 | |
United
| Facility | $95.50 | $151.36 | $177.83 | |
United
| Professional | $114.82 | $169.82 | $295.12 | |
Well Sense
| Facility | $263.03 | $263.03 | $416.87 |