| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.26 | $133.86 | $350.88 | |
Anthem BCBS
| Facility | $183.48 | $217.55 | $403.28 | |
Anthem BCBS
| Professional | $158.97 | $158.97 | $159.02 | |
Cigna
| Facility | $130.68 | $130.68 | $203.75 | |
Cigna
| Professional | $111.08 | $130.68 | $205.20 | |
Harvard Pilgrim
| Professional | $150.87 | $150.87 | $150.87 | |
Martin's Point
| Professional | $100.26 | $133.86 | $350.88 | |
United
| Professional | $79.48 | $119.24 | $314.42 |