| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $760.00 | $1,615.00 | |
Aetna
| Professional | $615.60 | $615.60 | $615.60 | |
Anthem BCBS
| Professional | $304.00 | $304.00 | $571.99 | |
Cigna
| Facility | $1,621.06 | $1,621.06 | $1,621.06 | |
Cigna
| Professional | $873.50 | $873.50 | $1,091.86 | |
Harvard Pilgrim
| Professional | $760.00 | $760.00 | $920.36 | |
Martin's Point
| Facility | $760.00 | $760.00 | $1,231.20 | |
Martin's Point
| Professional | $615.60 | $615.60 | $760.00 | |
United
| Professional | $456.00 | $456.00 | $1,102.00 |