| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.31 | $203.55 | $203.55 | |
Anthem BCBS
| Facility | $298.27 | $386.44 | $716.33 | |
Anthem BCBS
| Professional | $183.63 | $196.33 | $196.33 | |
Cigna
| Facility | $192.25 | $192.25 | $192.25 | |
Cigna
| Professional | $140.34 | $140.34 | $192.25 | |
Harvard Pilgrim
| Professional | $271.52 | $271.52 | $271.52 | |
Martin's Point
| Professional | $188.83 | $203.55 | $203.55 | |
United
| Professional | $111.54 | $167.30 | $384.74 |