| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.83 | $106.73 | $106.73 | |
Anthem BCBS
| Facility | $156.37 | $202.60 | $375.55 | |
Anthem BCBS
| Professional | $92.70 | $96.68 | $96.68 | |
Cigna
| Facility | $123.28 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $96.83 | $132.63 | |
Harvard Pilgrim
| Professional | $142.36 | $142.36 | $142.36 | |
Martin's Point
| Professional | $99.02 | $106.73 | $106.73 | |
United
| Professional | $58.48 | $87.72 | $201.74 |