| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.91 | $450.91 | $1,127.28 | |
Aetna
| Professional | $365.24 | $365.24 | $450.91 | |
Anthem BCBS
| Facility | $436.35 | $662.84 | $1,558.80 | |
Anthem BCBS
| Professional | $180.36 | $180.36 | $427.93 | |
Cigna
| Facility | $961.77 | $961.77 | $961.77 | |
Cigna
| Professional | $285.52 | $456.32 | $476.54 | |
Harvard Pilgrim
| Professional | $450.91 | $450.91 | $455.42 | |
Martin's Point
| Facility | $450.91 | $450.91 | $1,127.28 | |
Martin's Point
| Professional | $365.24 | $450.91 | $450.91 | |
United
| Professional | $229.96 | $270.55 | $676.37 |