| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.39 | $91.47 | $99.76 | |
Anthem BCBS
| Facility | $564.82 | $587.60 | $1,487.00 | |
Anthem BCBS
| Professional | $90.12 | $99.13 | $128.63 | |
Cigna
| Facility | $101.77 | $101.77 | $101.77 | |
Cigna
| Professional | $84.85 | $105.33 | $200.94 | |
Harvard Pilgrim
| Professional | $101.09 | $148.83 | $259.55 | |
Martin's Point
| Professional | $80.39 | $91.47 | $2,025.00 | |
United
| Professional | $38.40 | $104.74 | $175.10 |