| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.74 | $198.74 | $422.32 | |
Aetna
| Professional | $151.04 | $151.04 | $198.74 | |
Anthem BCBS
| Facility | $192.32 | $241.41 | $687.04 | |
Anthem BCBS
| Professional | $45.77 | $129.18 | $129.18 | |
Cigna
| Facility | $317.70 | $317.70 | $317.70 | |
Harvard Pilgrim
| Professional | $198.74 | $198.74 | $200.73 | |
Martin's Point
| Facility | $198.74 | $198.74 | $321.95 | |
Martin's Point
| Professional | $198.74 | $198.74 | $198.74 | |
United
| Professional | $89.38 | $119.24 | $248.28 |