| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.07 | $149.62 | $149.62 | |
Anthem BCBS
| Facility | $322.48 | $383.99 | $442.28 | |
Anthem BCBS
| Professional | $101.93 | $333.24 | $333.24 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
Harvard Pilgrim
| Professional | $299.92 | $299.92 | $359.33 | |
Martin's Point
| Professional | $127.07 | $149.62 | $149.62 | |
United
| Professional | $141.31 | $355.95 | $421.87 |