| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,348.96 | $1,621.81 | $3,090.30 | |
Anthem BCBS
| Professional | $1,122.02 | $1,862.09 | $2,511.89 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Cigna
| Professional | $1,621.81 | $2,238.72 | $2,884.03 | |
Harvard Pilgrim
| Professional | $1,348.96 | $1,621.81 | $2,511.89 | |
Martin's Point
| Professional | $1,348.96 | $1,819.70 | $3,388.44 | |
United
| Professional | $1,348.96 | $1,949.84 | $2,630.27 |