| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $1,445.44 | |
Aetna
| Professional | $630.96 | $691.83 | $870.96 | |
Anthem BCBS
| Facility | $5,011.87 | $5,754.40 | $6,165.95 | |
Anthem BCBS
| Professional | $10.23 | $537.03 | $891.25 | |
Cigna
| Facility | $2,041.74 | $2,041.74 | $2,041.74 | |
Cigna
| Professional | $1,023.29 | $1,023.29 | $1,288.25 | |
Harvard Pilgrim
| Professional | $537.03 | $891.25 | $1,096.48 | |
Martin's Point
| Facility | $891.25 | $891.25 | $891.25 | |
Martin's Point
| Professional | $630.96 | $724.44 | $891.25 | |
United
| Professional | $537.03 | $537.03 | $1,348.96 |