| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $527.47 | $732.77 | $732.77 | |
Anthem BCBS
| Facility | $690.65 | $894.80 | $1,658.67 | |
Anthem BCBS
| Professional | $700.67 | $700.67 | $708.65 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $553.84 | $758.68 | |
Harvard Pilgrim
| Professional | $977.44 | $977.44 | $977.44 | |
Martin's Point
| Professional | $708.65 | $732.77 | $761.22 | |
United
| Professional | $401.52 | $605.51 | $1,671.60 |