| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.27 | $194.27 | $233.12 | |
Aetna
| Professional | $121.03 | $150.75 | $194.27 | |
Anthem BCBS
| Facility | $345.01 | $345.01 | $408.97 | |
Anthem BCBS
| Professional | $157.80 | $157.80 | $166.45 | |
Cigna
| Facility | $190.78 | $190.78 | $190.78 | |
Cigna
| Professional | $139.27 | $139.27 | $203.38 | |
Harvard Pilgrim
| Professional | $279.33 | $279.33 | $862.18 | |
United
| Professional | $114.75 | $172.12 | $290.00 | |
Well Sense
| Professional | $225.42 | $247.96 | $315.58 |