| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.09 | $466.89 | $466.89 | |
Anthem BCBS
| Facility | $684.14 | $886.36 | $1,643.03 | |
Anthem BCBS
| Professional | $382.93 | $417.29 | $417.29 | |
Cigna
| Facility | $408.60 | $408.60 | $565.37 | |
Cigna
| Professional | $298.27 | $344.23 | $408.60 | |
Harvard Pilgrim
| Professional | $622.79 | $622.79 | $622.79 | |
Martin's Point
| Professional | $433.12 | $466.89 | $466.89 | |
United
| Professional | $255.83 | $383.75 | $882.51 |