| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.50 | $125.50 | $138.05 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $135.00 | $135.00 | $135.00 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
Harvard Pilgrim
| Professional | $125.50 | $145.19 | $222.75 | |
Martin's Point
| Professional | $85.00 | $125.50 | $138.05 | |
United
| Professional | $136.09 | $147.65 | $214.09 |