| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.73 | $155.22 | $155.22 | |
Anthem BCBS
| Facility | $227.46 | $294.69 | $546.26 | |
Anthem BCBS
| Professional | $119.68 | $127.64 | $127.64 | |
Cigna
| Facility | $142.94 | $142.94 | $187.96 | |
Cigna
| Professional | $104.35 | $104.35 | $142.94 | |
Harvard Pilgrim
| Professional | $207.06 | $207.06 | $207.06 | |
Martin's Point
| Professional | $143.99 | $155.22 | $155.22 | |
United
| Professional | $85.06 | $127.58 | $293.39 |