| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.66 | $203.91 | $210.34 | |
Anthem BCBS
| Facility | $155.90 | $184.85 | $342.66 | |
Anthem BCBS
| Professional | $125.13 | $138.69 | $141.38 | |
Cigna
| Facility | $129.12 | $129.12 | $184.40 | |
Cigna
| Professional | $109.75 | $129.12 | $205.20 | |
Harvard Pilgrim
| Professional | $140.54 | $140.54 | $140.54 | |
Martin's Point
| Professional | $77.31 | $203.91 | $399.79 | |
United
| Professional | $65.48 | $138.44 | $326.32 |