| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,143.60 | $2,143.60 | $5,359.00 | |
Aetna
| Professional | $1,736.32 | $1,736.32 | $2,143.60 | |
Anthem BCBS
| Facility | $2,074.36 | $2,603.83 | $7,410.43 | |
Anthem BCBS
| Professional | $857.44 | $857.44 | $1,393.34 | |
Cigna
| Facility | $4,572.25 | $4,572.25 | $4,572.25 | |
Cigna
| Professional | $1,924.85 | $2,265.30 | $3,078.92 | |
Harvard Pilgrim
| Professional | $2,143.60 | $2,143.60 | $2,165.04 | |
Martin's Point
| Facility | $2,143.60 | $2,143.60 | $5,359.00 | |
Martin's Point
| Professional | $1,736.32 | $2,143.60 | $2,143.60 | |
United
| Professional | $361.26 | $1,093.24 | $2,143.60 |