| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,891.10 | $3,891.10 | $3,891.10 | |
Aetna
| Professional | $604.98 | $698.39 | $698.39 | |
Anthem BCBS
| Professional | $774.69 | $958.16 | $1,445.29 | |
Cigna
| Professional | $688.27 | $1,169.25 | $1,732.72 | |
Harvard Pilgrim
| Professional | $943.53 | $1,158.08 | $1,821.00 | |
Martin's Point
| Facility | $3,891.10 | $3,891.10 | $3,891.10 | |
Martin's Point
| Professional | $604.98 | $604.98 | $698.39 | |
United
| Professional | $716.47 | $1,171.14 | $1,754.93 |