| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.77 | $208.15 | $208.15 | |
Anthem BCBS
| Facility | $448.63 | $534.21 | $615.29 | |
Anthem BCBS
| Professional | $226.16 | $226.16 | $226.16 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
Harvard Pilgrim
| Professional | $417.24 | $417.24 | $499.90 | |
Martin's Point
| Professional | $176.77 | $208.15 | $208.15 | |
United
| Professional | $196.59 | $495.19 | $586.90 |