| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,625.00 | $1,625.00 | $4,062.50 | |
Aetna
| Professional | $1,316.25 | $1,316.25 | $1,625.00 | |
Anthem BCBS
| Facility | $1,572.51 | $1,973.89 | $5,617.63 | |
Anthem BCBS
| Professional | $650.00 | $715.00 | $2,289.64 | |
Cigna
| Facility | $3,466.08 | $3,466.08 | $3,466.08 | |
Cigna
| Professional | $1,459.22 | $1,644.59 | $2,334.48 | |
Harvard Pilgrim
| Professional | $1,625.00 | $1,625.00 | $1,641.25 | |
Martin's Point
| Facility | $1,625.00 | $1,625.00 | $4,062.50 | |
Martin's Point
| Professional | $1,316.25 | $1,625.00 | $1,625.00 | |
United
| Professional | $975.00 | $975.00 | $2,356.25 |