| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $372.70 | $372.70 | $372.70 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Facility | $105.53 | $105.53 | $105.53 | |
Harvard Pilgrim
| Professional | $350.91 | $350.91 | $350.91 | |
Martin's Point
| Professional | $372.70 | $372.70 | $372.70 | |
United
| Professional | $248.42 | $248.42 | $350.91 |