| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.37 | $676.37 | $1,437.29 | |
Aetna
| Professional | $676.37 | $676.37 | $676.37 | |
Anthem BCBS
| Facility | $654.52 | $821.59 | $2,338.21 | |
Anthem BCBS
| Professional | $180.36 | $439.64 | $439.64 | |
Cigna
| Facility | $1,442.68 | $1,442.68 | $1,442.68 | |
Harvard Pilgrim
| Professional | $676.37 | $676.37 | $683.13 | |
Martin's Point
| Facility | $676.37 | $676.37 | $1,095.72 | |
Martin's Point
| Professional | $676.37 | $676.37 | $676.37 | |
United
| Professional | $405.82 | $405.82 | $1,014.56 |