| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.00 | $914.00 | $2,285.00 | |
Aetna
| Professional | $914.00 | $914.00 | $914.00 | |
Anthem BCBS
| Professional | $365.60 | $402.16 | $2,559.01 | |
Cigna
| Facility | $1,949.54 | $1,949.54 | $1,949.54 | |
Cigna
| Professional | $579.04 | $925.08 | $965.88 | |
Harvard Pilgrim
| Professional | $914.00 | $914.00 | $923.14 | |
Martin's Point
| Facility | $914.00 | $914.00 | $2,285.00 | |
Martin's Point
| Professional | $914.00 | $914.00 | $914.00 | |
United
| Professional | $466.14 | $548.40 | $1,371.00 |