| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $204.17 | $660.69 | |
Anthem BCBS
| Facility | $323.59 | $389.05 | $446.68 | |
Anthem BCBS
| Professional | $186.21 | $338.84 | $389.05 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
Harvard Pilgrim
| Professional | $302.00 | $302.00 | $363.08 | |
Martin's Point
| Professional | $125.89 | $204.17 | $660.69 | |
United
| Professional | $141.25 | $302.00 | $426.58 |