| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $812.83 | |
Aetna
| Professional | $354.81 | $389.05 | $489.78 | |
Anthem BCBS
| Facility | $2,818.38 | $3,235.94 | $3,467.37 | |
Anthem BCBS
| Professional | $28.84 | $302.00 | $501.19 | |
Cigna
| Facility | $1,148.15 | $1,148.15 | $1,148.15 | |
Cigna
| Professional | $575.44 | $575.44 | $724.44 | |
Harvard Pilgrim
| Professional | $302.00 | $501.19 | $616.60 | |
Martin's Point
| Facility | $501.19 | $501.19 | $501.19 | |
Martin's Point
| Professional | $354.81 | $407.38 | $501.19 | |
United
| Professional | $302.00 | $302.00 | $758.58 |