| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.01 | $201.93 | $201.93 | |
Anthem BCBS
| Facility | $295.89 | $383.35 | $710.60 | |
Anthem BCBS
| Professional | $185.44 | $194.29 | $194.29 | |
Cigna
| Facility | $227.96 | $227.96 | $244.51 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
Harvard Pilgrim
| Professional | $269.36 | $269.36 | $269.36 | |
Martin's Point
| Professional | $187.32 | $201.93 | $201.93 | |
United
| Professional | $117.04 | $187.26 | $381.68 |