| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.36 | $291.36 | $728.40 | |
Aetna
| Professional | $236.00 | $236.00 | $291.36 | |
Anthem BCBS
| Facility | $281.95 | $428.30 | $1,233.58 | |
Anthem BCBS
| Professional | $116.54 | $116.54 | $276.51 | |
Cigna
| Facility | $621.45 | $621.45 | $621.45 | |
Cigna
| Professional | $184.48 | $294.94 | $307.94 | |
Harvard Pilgrim
| Professional | $291.36 | $291.36 | $294.27 | |
Martin's Point
| Facility | $291.36 | $291.36 | $728.40 | |
Martin's Point
| Professional | $236.00 | $291.36 | $291.36 | |
United
| Professional | $174.82 | $291.36 | $509.88 |