| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $775.50 | $1,077.33 | $1,077.33 | |
Anthem BCBS
| Facility | $1,578.59 | $2,045.21 | $3,791.17 | |
Anthem BCBS
| Professional | $970.78 | $1,018.72 | $1,018.72 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,030.36 | |
Cigna
| Professional | $752.17 | $752.17 | $1,030.36 | |
Harvard Pilgrim
| Professional | $1,437.05 | $1,437.05 | $1,437.05 | |
Martin's Point
| Professional | $999.38 | $1,077.33 | $1,077.33 | |
United
| Professional | $613.63 | $981.80 | $2,036.32 |