| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.58 | $193.58 | $616.04 | |
Aetna
| Professional | $141.47 | $150.21 | $208.66 | |
Anthem BCBS
| Facility | $343.78 | $343.78 | $407.52 | |
Anthem BCBS
| Professional | $191.64 | $191.64 | $200.79 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $212.98 | $296.93 | |
Harvard Pilgrim
| Professional | $278.33 | $278.33 | $859.10 | |
United
| Professional | $118.11 | $171.50 | $203.65 | |
Well Sense
| Professional | $257.48 | $302.32 | $454.19 |