| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.92 | $246.92 | $524.71 | |
Aetna
| Professional | $200.01 | $200.01 | $200.01 | |
Anthem BCBS
| Facility | $238.94 | $299.93 | $853.60 | |
Anthem BCBS
| Professional | $60.28 | $98.77 | $160.49 | |
Cigna
| Facility | $526.67 | $526.67 | $526.67 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Harvard Pilgrim
| Professional | $246.92 | $246.92 | $299.02 | |
Martin's Point
| Facility | $246.92 | $246.92 | $400.01 | |
Martin's Point
| Professional | $200.01 | $200.01 | $246.92 | |
United
| Professional | $148.15 | $148.15 | $345.69 |