| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.44 | $210.08 | $210.08 | |
Anthem BCBS
| Facility | $307.83 | $398.83 | $739.31 | |
Anthem BCBS
| Professional | $198.35 | $202.16 | $202.16 | |
Cigna
| Facility | $197.94 | $197.94 | $254.39 | |
Cigna
| Professional | $144.50 | $144.50 | $197.94 | |
Harvard Pilgrim
| Professional | $280.22 | $280.22 | $280.22 | |
Martin's Point
| Professional | $190.25 | $210.08 | $210.08 | |
United
| Professional | $115.11 | $172.67 | $397.08 |