| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.54 | $166.07 | $166.07 | |
Anthem BCBS
| Facility | $243.34 | $315.27 | $584.41 | |
Anthem BCBS
| Professional | $163.91 | $174.59 | $174.59 | |
Cigna
| Facility | $170.96 | $170.96 | $201.09 | |
Cigna
| Professional | $124.80 | $124.80 | $170.96 | |
Harvard Pilgrim
| Professional | $221.52 | $221.52 | $221.52 | |
Martin's Point
| Professional | $154.05 | $166.07 | $166.07 | |
United
| Professional | $91.00 | $147.22 | $313.89 |