| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.22 | $105.89 | $105.89 | |
Anthem BCBS
| Facility | $155.16 | $201.02 | $372.63 | |
Anthem BCBS
| Professional | $85.01 | $92.64 | $92.64 | |
Cigna
| Facility | $100.43 | $100.43 | $128.22 | |
Cigna
| Professional | $73.31 | $73.31 | $100.43 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $141.25 | |
Martin's Point
| Professional | $98.23 | $105.89 | $105.89 | |
United
| Professional | $58.02 | $87.03 | $200.14 |