| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.97 | $444.39 | $510.97 | |
Anthem BCBS
| Professional | $156.13 | $325.48 | $686.31 | |
Cigna
| Facility | $219.22 | $219.22 | $456.00 | |
Cigna
| Professional | $159.97 | $396.55 | $928.63 | |
Harvard Pilgrim
| Professional | $161.58 | $457.94 | $931.44 | |
Martin's Point
| Professional | $135.97 | $310.60 | $520.61 | |
United
| Professional | $367.50 | $614.91 | $906.56 |