| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $891.25 | $2,398.83 | |
Anthem BCBS
| Facility | $1,513.56 | $1,819.70 | $2,089.30 | |
Anthem BCBS
| Professional | $933.25 | $933.25 | $1,122.02 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $812.83 | $812.83 | $1,122.02 | |
Harvard Pilgrim
| Professional | $1,348.96 | $1,348.96 | $1,621.81 | |
Martin's Point
| Professional | $707.95 | $933.25 | $2,398.83 | |
United
| Facility | $446.68 | $707.95 | $707.95 | |
United
| Professional | $549.54 | $870.96 | $1,513.56 |