| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.09 | $134.66 | $276.69 | |
Anthem BCBS
| Facility | $291.70 | $402.94 | $661.31 | |
Anthem BCBS
| Professional | $168.36 | $217.88 | $298.85 | |
Cigna
| Professional | $121.20 | $211.09 | $356.55 | |
Harvard Pilgrim
| Professional | $190.02 | $228.67 | $372.53 | |
Martin's Point
| Professional | $113.09 | $184.74 | $276.69 | |
United
| Professional | $152.66 | $246.59 | $372.53 |