| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $594.40 | $719.19 | $1,052.08 | |
Anthem BCBS
| Professional | $456.71 | $478.36 | $500.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1,056.61 | $1,056.61 | $1,056.61 | |
Harvard Pilgrim
| Professional | $590.97 | $590.97 | $590.97 | |
Martin's Point
| Professional | $594.40 | $719.19 | $1,052.08 |