| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $599.07 | $599.07 | $599.07 | |
Aetna
| Professional | $250.18 | $355.73 | $528.13 | |
Anthem BCBS
| Professional | $304.39 | $358.12 | $519.83 | |
Cigna
| Professional | $329.34 | $532.62 | $793.98 | |
Harvard Pilgrim
| Professional | $342.13 | $506.59 | $899.15 | |
Martin's Point
| Professional | $250.18 | $383.06 | $677.08 | |
United
| Professional | $359.13 | $572.87 | $835.05 |