| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $151.36 | $245.47 | |
Anthem BCBS
| Facility | $457.09 | $457.09 | $457.09 | |
Anthem BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
Harvard Pilgrim
| Professional | $158.49 | $181.97 | $208.93 | |
Martin's Point
| Professional | $147.91 | $151.36 | $245.47 | |
United
| Professional | $125.89 | $147.91 | $234.42 |