| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.02 | $295.02 | $315.01 | |
Anthem BCBS
| Facility | $430.00 | $509.87 | $945.14 | |
Anthem BCBS
| Professional | $275.02 | $293.57 | $345.47 | |
Cigna
| Facility | $229.50 | $229.50 | $446.97 | |
Cigna
| Professional | $229.50 | $229.50 | $330.17 | |
Harvard Pilgrim
| Professional | $353.59 | $353.59 | $353.59 | |
Martin's Point
| Professional | $212.18 | $295.02 | $315.01 | |
United
| Professional | $171.84 | $286.97 | $578.64 |