| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.10 | $140.44 | $140.44 | |
Anthem BCBS
| Facility | $205.79 | $266.62 | $494.23 | |
Anthem BCBS
| Professional | $137.22 | $147.63 | $147.63 | |
Cigna
| Facility | $162.21 | $166.23 | $170.06 | |
Cigna
| Professional | $121.35 | $121.35 | $166.23 | |
Harvard Pilgrim
| Professional | $187.34 | $187.34 | $187.34 | |
Martin's Point
| Professional | $130.28 | $140.44 | $140.44 | |
United
| Professional | $88.94 | $124.51 | $265.45 |