| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.54 | $104.58 | $177.09 | |
Anthem BCBS
| Professional | $110.95 | $152.32 | $219.36 | |
Cigna
| Facility | $132.90 | $132.90 | $132.90 | |
Cigna
| Professional | $115.72 | $154.41 | $255.88 | |
Harvard Pilgrim
| Professional | $139.05 | $163.58 | $255.19 | |
Martin's Point
| Professional | $104.54 | $114.99 | $213.54 | |
United
| Professional | $117.45 | $168.68 | $251.11 |