| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.00 | $126.31 | $126.31 | |
Anthem BCBS
| Facility | $118.75 | $153.86 | $285.20 | |
Anthem BCBS
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $52.17 | |
Harvard Pilgrim
| Professional | $168.49 | $168.49 | $168.49 | |
Martin's Point
| Professional | $72.00 | $126.31 | $126.31 | |
United
| Professional | $69.20 | $117.73 | $300.11 |