| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.49 | $364.49 | $675.53 | |
Anthem BCBS
| Professional | $1,098.74 | $1,650.48 | $2,060.59 | |
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
Harvard Pilgrim
| Professional | $526.79 | $609.50 | $935.00 | |
Martin's Point
| Professional | $364.49 | $364.49 | $364.49 | |
United
| Professional | $373.68 | $593.74 | $742.18 |