| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.88 | $154.88 | $198.15 | |
Anthem BCBS
| Facility | $164.16 | $194.65 | $360.81 | |
Anthem BCBS
| Professional | $138.52 | $146.00 | $184.36 | |
Cigna
| Facility | $123.59 | $123.59 | $210.90 | |
Cigna
| Professional | $105.05 | $123.59 | $155.94 | |
Harvard Pilgrim
| Professional | $134.99 | $134.99 | $134.99 | |
Martin's Point
| Professional | $100.84 | $154.88 | $198.15 | |
United
| Professional | $101.53 | $156.44 | $330.28 |