| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $154.88 | $251.19 | |
Anthem BCBS
| Facility | $977.24 | $1,202.26 | $1,202.26 | |
Anthem BCBS
| Professional | $141.25 | $190.55 | $281.84 | |
Cigna
| Professional | $177.83 | $281.84 | $630.96 | |
Harvard Pilgrim
| Professional | $190.55 | $239.88 | $467.74 | |
Martin's Point
| Professional | $138.04 | $208.93 | $616.60 | |
United
| Professional | $162.18 | $234.42 | $457.09 |