| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $362.23 | $362.23 | |
Anthem BCBS
| Professional | $125.00 | $125.00 | $125.00 | |
Cigna
| Facility | $306.10 | $306.10 | $306.10 | |
Harvard Pilgrim
| Professional | $751.07 | $751.07 | $751.07 | |
Martin's Point
| Professional | $112.20 | $362.23 | $362.23 |