| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.24 | $163.24 | $179.56 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $176.00 | $176.00 | $176.00 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $179.39 | $179.39 | $179.39 | |
Harvard Pilgrim
| Professional | $163.24 | $188.87 | $289.73 | |
Martin's Point
| Professional | $163.24 | $163.24 | $179.56 | |
United
| Professional | $164.98 | $164.98 | $247.47 |