| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.00 | $504.00 | $1,260.00 | |
Aetna
| Professional | $408.24 | $408.24 | $504.00 | |
Anthem BCBS
| Facility | $487.72 | $612.21 | $1,742.33 | |
Anthem BCBS
| Professional | $201.60 | $221.76 | $2,289.64 | |
Cigna
| Facility | $1,075.02 | $1,075.02 | $1,075.02 | |
Cigna
| Professional | $452.46 | $532.50 | $723.78 | |
Harvard Pilgrim
| Professional | $504.00 | $504.00 | $509.04 | |
Martin's Point
| Facility | $504.00 | $504.00 | $1,260.00 | |
Martin's Point
| Professional | $408.24 | $504.00 | $504.00 | |
United
| Professional | $302.39 | $302.39 | $730.80 |