| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $977.24 | |
Aetna
| Professional | $323.59 | $457.09 | $575.44 | |
Anthem BCBS
| Facility | $691.83 | $3,801.89 | $4,168.69 | |
Anthem BCBS
| Professional | $239.88 | $354.81 | $602.56 | |
Cigna
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Harvard Pilgrim
| Professional | $602.56 | $602.56 | $724.44 | |
Martin's Point
| Facility | $602.56 | $602.56 | $602.56 | |
Martin's Point
| Professional | $323.59 | $467.74 | $575.44 | |
United
| Professional | $354.81 | $602.56 | $891.25 |