| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $331.13 | $338.84 | |
Aetna
| Professional | $251.19 | $363.08 | $537.03 | |
Anthem BCBS
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Anthem BCBS
| Professional | $338.84 | $338.84 | $338.84 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Harvard Pilgrim
| Professional | $338.84 | $389.05 | $436.52 | |
Martin's Point
| Facility | $275.42 | $331.13 | $338.84 | |
Martin's Point
| Professional | $275.42 | $338.84 | $512.86 | |
United
| Professional | $281.84 | $338.84 | $575.44 |