| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $169.82 | $295.12 | |
Anthem BCBS
| Facility | $295.12 | $354.81 | $398.11 | |
Anthem BCBS
| Professional | $269.15 | $269.15 | $269.15 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $309.03 | |
Harvard Pilgrim
| Professional | $257.04 | $257.04 | $309.03 | |
Martin's Point
| Professional | $147.91 | $234.42 | $426.58 | |
United
| Facility | $134.90 | $208.93 | $208.93 | |
United
| Professional | $162.18 | $257.04 | $416.87 |