| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.94 | $604.94 | $604.94 | |
Aetna
| Professional | $569.00 | $604.94 | $648.16 | |
Anthem BCBS
| Professional | $674.89 | $842.80 | $1,012.37 | |
Cigna
| Professional | $692.34 | $997.32 | $1,617.52 | |
Harvard Pilgrim
| Professional | $649.94 | $802.86 | $1,357.14 | |
Martin's Point
| Professional | $577.57 | $604.94 | $648.16 | |
United
| Professional | $534.16 | $798.38 | $1,244.48 |