| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.22 | $115.60 | $115.60 | |
Anthem BCBS
| Facility | $169.39 | $219.46 | $406.80 | |
Anthem BCBS
| Professional | $105.27 | $111.27 | $111.27 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $112.22 | |
Harvard Pilgrim
| Professional | $154.19 | $154.19 | $154.19 | |
Martin's Point
| Professional | $107.24 | $115.60 | $115.60 | |
United
| Professional | $63.34 | $95.02 | $218.52 |