| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.80 | $527.79 | $711.32 | |
Aetna
| Professional | $263.89 | $263.89 | $325.80 | |
Anthem BCBS
| Facility | $315.27 | $434.94 | $1,173.70 | |
Anthem BCBS
| Professional | $130.32 | $130.32 | $211.77 | |
Cigna
| Facility | $173.82 | $179.07 | $694.92 | |
Cigna
| Professional | $155.83 | $329.64 | $467.72 | |
Harvard Pilgrim
| Professional | $325.80 | $325.80 | $394.54 | |
Martin's Point
| Facility | $325.80 | $325.80 | $814.50 | |
Martin's Point
| Professional | $263.89 | $325.80 | $342.09 | |
United
| Professional | $93.59 | $195.48 | $325.80 |