| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.06 | $218.06 | $545.15 | |
Aetna
| Professional | $176.63 | $243.50 | $327.08 | |
Anthem BCBS
| Facility | $211.02 | $320.55 | $1,129.76 | |
Anthem BCBS
| Professional | $87.22 | $87.22 | $148.51 | |
Cigna
| Facility | $465.12 | $465.12 | $465.12 | |
Cigna
| Professional | $150.19 | $220.63 | $384.82 | |
Harvard Pilgrim
| Professional | $218.06 | $218.06 | $220.24 | |
Martin's Point
| Facility | $218.06 | $218.06 | $545.15 | |
Martin's Point
| Professional | $176.63 | $218.06 | $299.45 | |
United
| Professional | $93.89 | $130.84 | $273.86 |