| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.72 | $277.72 | $335.55 | |
Aetna
| Professional | $335.55 | $335.55 | $369.10 | |
Anthem BCBS
| Facility | $1,017.51 | $1,017.51 | $1,017.51 | |
Anthem BCBS
| Professional | $313.76 | $313.76 | $313.76 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Harvard Pilgrim
| Professional | $335.55 | $388.23 | $595.57 | |
Martin's Point
| Facility | $277.72 | $331.50 | $335.55 | |
Martin's Point
| Professional | $335.55 | $335.55 | $379.17 | |
United
| Professional | $329.09 | $329.09 | $493.64 |