| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $109.65 | $295.12 | |
Anthem BCBS
| Facility | $186.21 | $223.87 | $257.04 | |
Anthem BCBS
| Professional | $104.71 | $104.71 | $138.04 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $81.28 | $81.28 | $112.20 | |
Harvard Pilgrim
| Professional | $165.96 | $165.96 | $199.53 | |
Martin's Point
| Professional | $87.10 | $114.82 | $295.12 | |
United
| Facility | $54.95 | $87.10 | $87.10 | |
United
| Professional | $67.61 | $107.15 | $181.97 |