| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $158.49 | $524.81 | |
Anthem BCBS
| Facility | $338.84 | $407.38 | $467.74 | |
Anthem BCBS
| Professional | $158.49 | $158.49 | $208.93 | |
Cigna
| Facility | $190.55 | $190.55 | $251.19 | |
Cigna
| Professional | $138.04 | $138.04 | $190.55 | |
Harvard Pilgrim
| Professional | $302.00 | $302.00 | $363.08 | |
Martin's Point
| Professional | $125.89 | $162.18 | $524.81 | |
United
| Facility | $83.18 | $128.82 | $151.36 | |
United
| Professional | $114.82 | $173.78 | $302.00 |