| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.39 | $275.39 | $302.93 | |
Anthem BCBS
| Facility | $0.02 | $0.03 | $834.81 | |
Anthem BCBS
| Professional | $275.39 | $275.39 | $275.39 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Harvard Pilgrim
| Professional | $275.39 | $318.64 | $488.81 | |
Martin's Point
| Professional | $275.39 | $275.39 | $537.02 | |
United
| Professional | $247.34 | $247.34 | $371.01 |