| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $234.42 | $588.84 | |
Anthem BCBS
| Facility | $371.54 | $446.68 | $501.19 | |
Anthem BCBS
| Professional | $223.87 | $223.87 | $302.00 | |
Cigna
| Facility | $263.03 | $288.40 | $288.40 | |
Cigna
| Professional | $213.80 | $213.80 | $288.40 | |
Harvard Pilgrim
| Professional | $323.59 | $323.59 | $389.05 | |
Martin's Point
| Professional | $177.83 | $229.09 | $691.83 | |
United
| Facility | $117.49 | $186.21 | $338.84 | |
United
| Professional | $144.54 | $234.42 | $389.05 |