| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.59 | $103.59 | $103.59 | |
Anthem BCBS
| Facility | $157.18 | $186.37 | $345.48 | |
Anthem BCBS
| Professional | $103.28 | $106.29 | $122.33 | |
Cigna
| Facility | $100.30 | $100.30 | $150.50 | |
Cigna
| Professional | $85.26 | $100.30 | $116.64 | |
Harvard Pilgrim
| Professional | $129.25 | $129.25 | $129.25 | |
Martin's Point
| Professional | $76.89 | $76.89 | $103.59 | |
United
| Professional | $69.33 | $126.08 | $263.10 |