| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $234.42 | $630.96 | |
Anthem BCBS
| Facility | $398.11 | $478.63 | $549.54 | |
Anthem BCBS
| Professional | $223.87 | $223.87 | $295.12 | |
Cigna
| Facility | $234.42 | $234.42 | $302.00 | |
Cigna
| Professional | $169.82 | $169.82 | $234.42 | |
Harvard Pilgrim
| Professional | $354.81 | $354.81 | $426.58 | |
Martin's Point
| Professional | $186.21 | $245.47 | $630.96 | |
United
| Facility | $117.49 | $186.21 | $186.21 | |
United
| Professional | $144.54 | $229.09 | $398.11 |