| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $1,041.95 | |
Aetna
| Professional | $337.59 | $416.78 | $530.30 | |
Anthem BCBS
| Facility | $403.32 | $612.66 | $2,070.48 | |
Anthem BCBS
| Professional | $166.71 | $166.71 | $274.91 | |
Cigna
| Facility | $888.99 | $888.99 | $888.99 | |
Cigna
| Professional | $293.30 | $421.62 | $708.02 | |
Harvard Pilgrim
| Professional | $416.78 | $416.78 | $420.95 | |
Martin's Point
| Facility | $416.78 | $416.78 | $1,041.95 | |
Martin's Point
| Professional | $337.59 | $416.78 | $530.30 | |
United
| Professional | $173.80 | $250.07 | $506.92 |