| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.26 | $402.26 | $402.26 | |
Aetna
| Professional | $373.86 | $402.26 | $437.92 | |
Anthem BCBS
| Professional | $587.66 | $842.80 | $1,012.37 | |
Cigna
| Professional | $454.90 | $654.99 | $1,049.03 | |
Harvard Pilgrim
| Professional | $417.64 | $515.91 | $872.08 | |
Martin's Point
| Professional | $384.06 | $402.26 | $437.92 | |
United
| Professional | $328.56 | $530.87 | $788.80 |