| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.53 | $125.77 | $125.77 | |
Anthem BCBS
| Facility | $184.28 | $238.76 | $442.58 | |
Anthem BCBS
| Professional | $114.28 | $119.73 | $119.73 | |
Cigna
| Facility | $145.26 | $147.05 | $152.29 | |
Cigna
| Professional | $107.35 | $107.35 | $147.05 | |
Harvard Pilgrim
| Professional | $167.77 | $167.77 | $167.77 | |
Martin's Point
| Professional | $116.67 | $125.77 | $125.77 | |
United
| Professional | $72.12 | $103.37 | $237.71 |