| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.00 | $897.00 | $1,906.13 | |
Aetna
| Professional | $726.57 | $726.57 | $726.57 | |
Anthem BCBS
| Facility | $4,970.82 | $5,738.47 | $6,688.75 | |
Anthem BCBS
| Professional | $10.28 | $10.28 | $762.45 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
Harvard Pilgrim
| Professional | $897.00 | $897.00 | $1,086.27 | |
Martin's Point
| Facility | $897.00 | $897.00 | $1,453.14 | |
Martin's Point
| Professional | $726.57 | $726.57 | $897.00 | |
United
| Professional | $538.20 | $538.20 | $1,345.50 |