| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.54 | $185.77 | $192.49 | |
Anthem BCBS
| Facility | $456.18 | $630.13 | $1,034.17 | |
Anthem BCBS
| Professional | $218.94 | $218.94 | $304.14 | |
Cigna
| Professional | $173.28 | $254.00 | $374.10 | |
Harvard Pilgrim
| Professional | $197.86 | $238.09 | $429.51 | |
Martin's Point
| Professional | $122.09 | $185.77 | $192.49 | |
United
| Professional | $173.51 | $227.42 | $397.56 |