| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.38 | $137.38 | $158.09 | |
Anthem BCBS
| Facility | $169.81 | $201.35 | $373.24 | |
Anthem BCBS
| Professional | $137.94 | $148.69 | $157.00 | |
Cigna
| Facility | $112.73 | $112.73 | $206.23 | |
Cigna
| Professional | $15.59 | $112.73 | $173.88 | |
Harvard Pilgrim
| Professional | $139.56 | $139.56 | $139.56 | |
Martin's Point
| Professional | $107.59 | $137.38 | $158.09 | |
United
| Professional | $56.27 | $111.98 | $270.61 |