| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $97.26 | $97.26 | |
Anthem BCBS
| Facility | $142.51 | $184.63 | $342.25 | |
Anthem BCBS
| Professional | $72.28 | $76.69 | $76.69 | |
Cigna
| Facility | $75.09 | $75.09 | $117.77 | |
Cigna
| Professional | $54.82 | $54.82 | $75.09 | |
Harvard Pilgrim
| Professional | $129.72 | $129.72 | $129.72 | |
Martin's Point
| Professional | $90.22 | $97.26 | $97.26 | |
United
| Professional | $53.29 | $79.94 | $183.82 |