| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.30 | $250.46 | $250.46 | |
Anthem BCBS
| Facility | $367.00 | $475.49 | $881.40 | |
Anthem BCBS
| Professional | $186.65 | $197.49 | $197.49 | |
Cigna
| Facility | $216.42 | $216.42 | $303.29 | |
Cigna
| Professional | $157.99 | $157.99 | $216.42 | |
Harvard Pilgrim
| Professional | $334.10 | $334.10 | $334.10 | |
Martin's Point
| Professional | $185.87 | $232.34 | $250.46 | |
United
| Facility | $98.34 | $153.02 | $153.02 | |
United
| Professional | $137.24 | $205.86 | $473.43 |