| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $344.75 | $531.41 | $531.41 | |
Anthem BCBS
| Facility | $701.77 | $909.21 | $1,685.39 | |
Anthem BCBS
| Professional | $424.98 | $426.49 | $592.38 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $411.98 | $564.36 | |
Harvard Pilgrim
| Professional | $638.85 | $638.85 | $638.85 | |
Martin's Point
| Professional | $444.29 | $531.41 | $531.41 | |
United
| Professional | $262.43 | $510.22 | $905.25 |