| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $165.96 | $223.87 | |
Anthem BCBS
| Facility | $501.19 | $630.96 | $630.96 | |
Anthem BCBS
| Professional | $147.91 | $165.96 | $295.12 | |
Cigna
| Professional | $169.82 | $229.09 | $363.08 | |
Harvard Pilgrim
| Professional | $208.93 | $269.15 | $524.81 | |
Martin's Point
| Professional | $144.54 | $169.82 | $234.42 | |
United
| Professional | $158.49 | $229.09 | $436.52 |