| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $381.60 | |
Aetna
| Professional | $318.00 | $318.00 | $381.60 | |
Anthem BCBS
| Professional | $318.00 | $318.00 | $318.00 | |
Cigna
| Facility | $300.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Harvard Pilgrim
| Professional | $318.00 | $318.00 | $461.55 | |
United
| Professional | $318.00 | $318.00 | $763.20 | |
Well Sense
| Professional | $425.24 | $467.76 | $595.34 |