| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.40 | $503.40 | $1,069.72 | |
Aetna
| Professional | $407.75 | $407.75 | $407.75 | |
Anthem BCBS
| Facility | $2,789.64 | $3,220.45 | $3,753.75 | |
Anthem BCBS
| Professional | $201.36 | $201.36 | $427.89 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
Harvard Pilgrim
| Professional | $503.40 | $503.40 | $609.62 | |
Martin's Point
| Facility | $503.40 | $503.40 | $815.51 | |
Martin's Point
| Professional | $407.75 | $407.75 | $503.40 | |
United
| Professional | $302.04 | $302.04 | $729.93 |