| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.87 | $112.62 | $183.88 | |
Anthem BCBS
| Professional | $115.15 | $154.69 | $228.26 | |
Cigna
| Facility | $138.29 | $138.29 | $138.29 | |
Cigna
| Professional | $120.70 | $160.93 | $265.58 | |
Harvard Pilgrim
| Professional | $144.32 | $169.78 | $264.87 | |
Martin's Point
| Professional | $108.87 | $123.89 | $193.91 | |
United
| Professional | $109.12 | $176.12 | $261.39 |