| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.59 | $164.59 | $164.82 | |
Anthem BCBS
| Facility | $484.25 | $484.25 | $484.25 | |
Anthem BCBS
| Professional | $159.75 | $159.75 | $159.75 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Harvard Pilgrim
| Professional | $158.97 | $183.94 | $282.17 | |
Martin's Point
| Professional | $164.59 | $164.59 | $181.06 | |
United
| Professional | $156.69 | $156.69 | $235.05 |