| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.22 | $91.28 | $104.09 | |
Anthem BCBS
| Facility | $152.52 | $197.61 | $366.30 | |
Anthem BCBS
| Professional | $88.64 | $93.22 | $93.22 | |
Cigna
| Facility | $96.73 | $96.73 | $126.04 | |
Cigna
| Professional | $70.61 | $96.73 | $96.73 | |
Harvard Pilgrim
| Professional | $138.85 | $138.85 | $138.85 | |
Martin's Point
| Professional | $47.04 | $96.56 | $104.09 | |
United
| Professional | $57.04 | $85.55 | $196.75 |