| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $512.86 | $1,258.93 | |
Aetna
| Professional | $109.65 | $204.17 | $281.84 | |
Anthem BCBS
| Facility | $309.03 | $1,000.00 | $1,071.52 | |
Anthem BCBS
| Professional | $104.71 | $134.90 | $169.82 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $125.89 | $269.15 | $537.03 | |
Harvard Pilgrim
| Professional | $263.03 | $263.03 | $316.23 | |
Martin's Point
| Facility | $263.03 | $457.09 | $1,174.90 | |
Martin's Point
| Professional | $158.49 | $257.04 | $398.11 | |
United
| Professional | $93.33 | $229.09 | $288.40 |