| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.62 | $221.62 | $221.62 | |
Aetna
| Professional | $218.09 | $240.00 | $244.89 | |
Anthem BCBS
| Professional | $228.57 | $248.39 | $248.39 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Harvard Pilgrim
| Professional | $134.90 | $183.62 | $344.51 | |
Martin's Point
| Professional | $221.62 | $240.00 | $276.00 | |
United
| Professional | $194.79 | $391.62 | $642.87 |