| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.83 | $274.83 | $687.08 | |
Aetna
| Professional | $222.61 | $222.61 | $274.83 | |
Anthem BCBS
| Facility | $265.95 | $404.00 | $1,966.35 | |
Anthem BCBS
| Professional | $109.93 | $109.93 | $261.08 | |
Cigna
| Facility | $586.21 | $586.21 | $586.21 | |
Cigna
| Professional | $246.91 | $278.24 | $290.39 | |
Harvard Pilgrim
| Professional | $274.83 | $274.83 | $277.58 | |
Martin's Point
| Facility | $274.83 | $274.83 | $687.08 | |
Martin's Point
| Professional | $222.61 | $274.83 | $274.83 | |
United
| Professional | $164.90 | $164.90 | $412.25 |