| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.69 | $182.17 | $182.17 | |
Anthem BCBS
| Facility | $392.62 | $467.51 | $538.47 | |
Anthem BCBS
| Professional | $130.62 | $405.72 | $405.72 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
Harvard Pilgrim
| Professional | $365.15 | $365.15 | $437.49 | |
Martin's Point
| Professional | $154.69 | $182.17 | $182.17 | |
United
| Professional | $172.05 | $449.41 | $513.62 |