| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.58 | $107.78 | $107.78 | |
Anthem BCBS
| Facility | $157.94 | $204.63 | $379.31 | |
Anthem BCBS
| Professional | $94.06 | $96.32 | $96.32 | |
Cigna
| Facility | $117.36 | $117.36 | $130.52 | |
Cigna
| Professional | $85.67 | $85.67 | $117.36 | |
Harvard Pilgrim
| Professional | $143.78 | $143.78 | $143.78 | |
Martin's Point
| Professional | $90.66 | $107.78 | $107.78 | |
United
| Professional | $59.06 | $88.59 | $203.73 |