| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $413.73 | $637.74 | $637.74 | |
Anthem BCBS
| Facility | $842.16 | $1,091.08 | $2,022.54 | |
Anthem BCBS
| Professional | $510.00 | $511.80 | $710.90 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $528.74 | |
Harvard Pilgrim
| Professional | $766.66 | $766.66 | $766.66 | |
Martin's Point
| Professional | $533.17 | $637.74 | $637.74 | |
United
| Professional | $314.93 | $602.86 | $1,086.38 |