| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.55 | $235.54 | $235.54 | |
Anthem BCBS
| Facility | $345.14 | $447.16 | $828.90 | |
Anthem BCBS
| Professional | $177.26 | $185.73 | $185.73 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $132.76 | $181.86 | |
Harvard Pilgrim
| Professional | $314.19 | $314.19 | $314.19 | |
Martin's Point
| Professional | $218.51 | $235.54 | $235.54 | |
United
| Facility | $92.48 | $143.90 | $143.90 | |
United
| Professional | $129.06 | $193.60 | $445.22 |