| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $141.25 | $398.11 | |
Anthem BCBS
| Professional | $107.15 | $186.21 | $316.23 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $114.82 | $169.82 | $309.03 | |
Harvard Pilgrim
| Professional | $138.04 | $223.87 | $323.59 | |
Martin's Point
| Professional | $107.15 | $208.93 | $426.58 | |
United
| Professional | $125.89 | $181.97 | $263.03 |