| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $151.36 | $245.47 | |
Anthem BCBS
| Facility | $263.03 | $316.23 | $354.81 | |
Anthem BCBS
| Professional | $239.88 | $239.88 | $239.88 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $204.17 | $275.42 | |
Harvard Pilgrim
| Professional | $229.09 | $229.09 | $275.42 | |
Martin's Point
| Professional | $120.23 | $199.53 | $398.11 | |
United
| Facility | $117.49 | $186.21 | $186.21 | |
United
| Professional | $134.90 | $229.09 | $354.81 |