| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.91 | $597.91 | $1,270.56 | |
Aetna
| Professional | $484.31 | $484.31 | $484.31 | |
Anthem BCBS
| Facility | $578.60 | $878.93 | $4,277.93 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $508.22 | |
Cigna
| Facility | $1,275.32 | $1,275.32 | $1,275.32 | |
Harvard Pilgrim
| Professional | $597.91 | $597.91 | $603.89 | |
Martin's Point
| Facility | $597.91 | $597.91 | $968.61 | |
Martin's Point
| Professional | $484.31 | $484.31 | $597.91 | |
United
| Professional | $358.75 | $358.75 | $896.87 |