| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.80 | $835.80 | $835.80 | |
Aetna
| Professional | $682.94 | $834.64 | $835.81 | |
Anthem BCBS
| Facility | $1,224.69 | $1,586.71 | $2,941.25 | |
Anthem BCBS
| Professional | $765.53 | $806.19 | $806.19 | |
Cigna
| Facility | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $661.77 | $661.77 | $906.54 | |
Harvard Pilgrim
| Professional | $1,114.88 | $1,114.88 | $1,114.88 | |
Martin's Point
| Professional | $758.76 | $789.42 | $835.81 | |
United
| Professional | $457.98 | $686.96 | $1,579.80 |