| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $750.00 | $1,593.75 | |
Aetna
| Professional | $750.00 | $750.00 | $750.00 | |
Anthem BCBS
| Facility | $4,156.20 | $4,798.05 | $5,592.60 | |
Anthem BCBS
| Professional | $300.00 | $300.00 | $637.50 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Harvard Pilgrim
| Professional | $750.00 | $750.00 | $908.25 | |
Martin's Point
| Facility | $750.00 | $750.00 | $1,215.00 | |
Martin's Point
| Professional | $750.00 | $750.00 | $750.00 | |
United
| Professional | $450.00 | $450.00 | $1,125.00 |