| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $67.61 | $114.82 | |
Anthem BCBS
| Professional | $63.10 | $104.71 | $173.78 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $63.10 | $95.50 | $165.96 | |
Harvard Pilgrim
| Professional | $75.86 | $120.23 | $177.83 | |
Martin's Point
| Professional | $56.23 | $83.18 | $190.55 | |
United
| Professional | $67.61 | $102.33 | $154.88 |