| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.00 | $226.44 | $226.44 | |
Anthem BCBS
| Facility | $331.80 | $429.88 | $796.86 | |
Anthem BCBS
| Professional | $222.79 | $238.07 | $238.07 | |
Cigna
| Facility | $261.54 | $291.02 | $291.02 | |
Cigna
| Professional | $212.45 | $212.45 | $291.02 | |
Harvard Pilgrim
| Professional | $302.05 | $302.05 | $302.05 | |
Martin's Point
| Professional | $210.06 | $226.44 | $226.44 | |
United
| Facility | $118.54 | $184.46 | $184.46 | |
United
| Professional | $124.08 | $200.76 | $428.01 |