| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $338.84 | |
Aetna
| Professional | $144.54 | $234.42 | $354.81 | |
Anthem BCBS
| Facility | $316.23 | $338.84 | $389.05 | |
Anthem BCBS
| Professional | $281.84 | $281.84 | $281.84 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $218.78 | $218.78 | $302.00 | |
Harvard Pilgrim
| Professional | $269.15 | $269.15 | $478.63 | |
United
| Facility | $138.04 | $218.78 | $257.04 | |
United
| Professional | $162.18 | $239.88 | $380.19 | |
Well Sense
| Facility | $281.84 | $281.84 | $446.68 |