| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.51 | $253.93 | $253.93 | |
Anthem BCBS
| Professional | $225.00 | $225.00 | $225.00 | |
Cigna
| Facility | $306.10 | $306.10 | $306.10 | |
Harvard Pilgrim
| Professional | $751.07 | $751.07 | $751.07 | |
Martin's Point
| Professional | $94.51 | $108.69 | $253.93 |