| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.06 | $158.46 | $158.46 | |
Anthem BCBS
| Facility | $125.66 | $162.81 | $301.80 | |
Anthem BCBS
| Professional | $119.07 | $124.95 | $124.95 | |
Cigna
| Facility | $133.72 | $133.72 | $191.88 | |
Cigna
| Professional | $97.62 | $97.62 | $133.72 | |
Harvard Pilgrim
| Professional | $211.38 | $211.38 | $211.38 | |
Martin's Point
| Professional | $147.00 | $158.46 | $158.46 | |
United
| Professional | $86.83 | $130.24 | $299.51 |