| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $1,202.26 | |
Aetna
| Professional | $524.81 | $588.84 | $758.58 | |
Anthem BCBS
| Facility | $4,168.69 | $4,786.30 | $5,248.07 | |
Anthem BCBS
| Professional | $302.00 | $446.68 | $758.58 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Harvard Pilgrim
| Professional | $446.68 | $758.58 | $912.01 | |
Martin's Point
| Facility | $758.58 | $758.58 | $758.58 | |
Martin's Point
| Professional | $524.81 | $724.44 | $758.58 | |
United
| Professional | $446.68 | $446.68 | $1,122.02 |