| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.51 | $329.51 | $1,398.44 | |
Aetna
| Professional | $266.89 | $266.89 | $329.51 | |
Anthem BCBS
| Facility | $318.87 | $484.38 | $2,357.58 | |
Anthem BCBS
| Professional | $131.80 | $131.80 | $313.02 | |
Cigna
| Facility | $702.83 | $702.83 | $702.83 | |
Cigna
| Professional | $208.71 | $333.57 | $410.71 | |
Harvard Pilgrim
| Professional | $329.51 | $329.51 | $332.81 | |
Martin's Point
| Facility | $329.51 | $329.51 | $1,398.44 | |
Martin's Point
| Professional | $266.89 | $329.51 | $329.51 | |
United
| Professional | $197.71 | $197.71 | $494.27 |