| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.52 | $216.81 | $216.81 | |
Anthem BCBS
| Facility | $317.68 | $411.59 | $762.96 | |
Anthem BCBS
| Professional | $183.50 | $192.26 | $192.26 | |
Cigna
| Facility | $218.57 | $218.57 | $262.52 | |
Cigna
| Professional | $159.56 | $159.56 | $218.57 | |
Harvard Pilgrim
| Professional | $289.20 | $289.20 | $289.20 | |
Martin's Point
| Professional | $201.11 | $216.81 | $216.81 | |
United
| Professional | $118.80 | $178.20 | $409.80 |