| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.27 | $315.27 | $401.15 | |
Anthem BCBS
| Professional | $204.64 | $218.87 | $273.25 | |
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
Harvard Pilgrim
| Professional | $414.67 | $479.77 | $736.00 | |
Martin's Point
| Professional | $315.27 | $315.27 | $315.27 | |
United
| Professional | $302.58 | $446.85 | $558.55 |