| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $245.47 | $741.31 | |
Anthem BCBS
| Facility | $478.63 | $575.44 | $660.69 | |
Anthem BCBS
| Professional | $257.04 | $257.04 | $331.13 | |
Cigna
| Facility | $295.12 | $295.12 | $354.81 | |
Cigna
| Professional | $213.80 | $213.80 | $295.12 | |
Harvard Pilgrim
| Professional | $426.58 | $426.58 | $512.86 | |
Martin's Point
| Professional | $223.87 | $275.42 | $741.31 | |
United
| Facility | $134.90 | $208.93 | $208.93 | |
United
| Professional | $165.96 | $257.04 | $446.68 |