| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.17 | $294.75 | $294.75 | |
Anthem BCBS
| Facility | $261.63 | $338.96 | $628.33 | |
Anthem BCBS
| Professional | $266.83 | $266.83 | $266.83 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
Harvard Pilgrim
| Professional | $393.17 | $393.17 | $393.17 | |
Martin's Point
| Professional | $285.04 | $294.75 | $294.75 | |
United
| Professional | $161.51 | $242.26 | $557.12 |