| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Aetna
| Professional | $436.52 | $478.63 | $588.84 | |
Anthem BCBS
| Facility | $676.08 | $5,128.61 | $5,495.41 | |
Anthem BCBS
| Professional | $234.42 | $331.13 | $758.58 | |
Cigna
| Facility | $831.76 | $851.14 | $1,318.26 | |
Cigna
| Professional | $524.81 | $676.08 | $851.14 | |
Harvard Pilgrim
| Professional | $588.84 | $588.84 | $707.95 | |
Martin's Point
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Martin's Point
| Professional | $446.68 | $562.34 | $1,047.13 | |
United
| Professional | $354.81 | $588.84 | $1,174.90 |