| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.06 | $218.06 | $545.15 | |
Aetna
| Professional | $176.63 | $176.63 | $180.99 | |
Anthem BCBS
| Facility | $211.02 | $320.55 | $1,560.18 | |
Anthem BCBS
| Professional | $87.22 | $87.22 | $185.35 | |
Cigna
| Professional | $220.63 | $250.69 | $313.36 | |
Harvard Pilgrim
| Professional | $218.06 | $218.06 | $264.07 | |
Martin's Point
| Facility | $218.06 | $218.06 | $545.15 | |
Martin's Point
| Professional | $176.63 | $180.99 | $218.06 | |
United
| Professional | $130.84 | $130.84 | $316.19 |