| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.69 | $86.82 | $86.82 | |
Anthem BCBS
| Facility | $127.21 | $164.81 | $305.51 | |
Anthem BCBS
| Professional | $85.77 | $91.27 | $91.27 | |
Cigna
| Facility | $100.28 | $115.38 | $115.38 | |
Cigna
| Professional | $84.23 | $84.23 | $115.38 | |
Harvard Pilgrim
| Professional | $115.80 | $115.80 | $115.80 | |
Martin's Point
| Professional | $80.54 | $86.82 | $89.37 | |
United
| Professional | $54.98 | $115.80 | $158.44 |