| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $259.88 | $259.88 | $416.16 | |
Anthem BCBS
| Facility | $350.58 | $415.69 | $770.56 | |
Anthem BCBS
| Professional | $274.86 | $274.86 | $302.33 | |
Cigna
| Facility | $243.17 | $243.17 | $385.50 | |
Cigna
| Professional | $243.17 | $243.17 | $347.14 | |
Harvard Pilgrim
| Professional | $288.27 | $288.27 | $288.27 | |
Martin's Point
| Professional | $150.34 | $259.88 | $416.16 | |
United
| Professional | $127.54 | $269.13 | $662.24 |