| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.75 | $209.42 | $209.42 | |
Anthem BCBS
| Facility | $306.85 | $397.56 | $736.94 | |
Anthem BCBS
| Professional | $157.80 | $166.45 | $166.45 | |
Cigna
| Facility | $190.78 | $190.78 | $253.59 | |
Cigna
| Professional | $139.27 | $139.27 | $190.78 | |
Harvard Pilgrim
| Professional | $279.33 | $279.33 | $279.33 | |
Martin's Point
| Professional | $156.65 | $209.42 | $209.42 | |
United
| Professional | $114.75 | $172.12 | $395.84 |