| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.91 | $597.91 | $1,494.77 | |
Aetna
| Professional | $484.31 | $484.31 | $597.91 | |
Anthem BCBS
| Facility | $578.60 | $726.28 | $2,066.96 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $388.64 | |
Cigna
| Facility | $1,275.32 | $1,275.32 | $1,275.32 | |
Cigna
| Professional | $537.05 | $631.97 | $858.52 | |
Harvard Pilgrim
| Professional | $597.91 | $597.91 | $603.89 | |
Martin's Point
| Facility | $597.91 | $597.91 | $1,494.77 | |
Martin's Point
| Professional | $484.31 | $597.91 | $597.91 | |
United
| Professional | $358.75 | $361.26 | $873.05 |