| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.98 | $353.98 | $353.98 | |
Aetna
| Professional | $248.51 | $353.98 | $353.98 | |
Anthem BCBS
| Professional | $284.26 | $302.02 | $394.58 | |
Cigna
| Facility | $368.46 | $420.61 | $420.61 | |
Cigna
| Professional | $357.52 | $357.52 | $420.61 | |
Harvard Pilgrim
| Professional | $425.54 | $425.54 | $425.54 | |
Martin's Point
| Professional | $295.94 | $353.98 | $353.98 | |
United
| Professional | $181.93 | $355.76 | $602.98 |