| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.44 | $211.07 | $281.97 | |
Anthem BCBS
| Professional | $253.11 | $325.38 | $485.80 | |
Cigna
| Facility | 26 | $113.41 | $113.41 | $113.41 |
Cigna
| Professional | $237.65 | $343.50 | $583.63 | |
Harvard Pilgrim
| Professional | $288.45 | $371.51 | $569.91 | |
Martin's Point
| Professional | $165.44 | $281.97 | $455.31 | |
United
| Professional | $206.19 | $282.20 | $520.73 |