| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.34 | $204.69 | $204.69 | |
Anthem BCBS
| Facility | $192.92 | $249.95 | $463.32 | |
Anthem BCBS
| Professional | $193.20 | $195.72 | $195.72 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $154.63 | $211.82 | |
Harvard Pilgrim
| Professional | $273.04 | $273.04 | $273.04 | |
Martin's Point
| Professional | $197.95 | $204.69 | $204.69 | |
United
| Professional | $84.24 | $168.24 | $386.89 |