| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $602.56 | |
Aetna
| Professional | $512.86 | $616.60 | $870.96 | |
Anthem BCBS
| Professional | $512.86 | $676.08 | $933.25 | |
Cigna
| Professional | $707.95 | $954.99 | $1,412.54 | |
Harvard Pilgrim
| Professional | $630.96 | $912.01 | $1,819.70 | |
Martin's Point
| Professional | $512.86 | $602.56 | $691.83 | |
United
| Professional | $457.09 | $794.33 | $1,412.54 |