| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.40 | $503.40 | $1,069.72 | |
Aetna
| Professional | $407.75 | $407.75 | $407.75 | |
Anthem BCBS
| Facility | $487.14 | $611.48 | $1,740.25 | |
Anthem BCBS
| Professional | $201.36 | $327.20 | $327.20 | |
Cigna
| Facility | $1,073.74 | $1,073.74 | $1,073.74 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
Harvard Pilgrim
| Professional | $503.40 | $503.40 | $609.62 | |
Martin's Point
| Facility | $503.40 | $503.40 | $815.51 | |
Martin's Point
| Professional | $407.75 | $407.75 | $528.57 | |
United
| Professional | $302.04 | $302.04 | $729.93 |