| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.59 | $223.36 | $224.23 | |
Anthem BCBS
| Facility | $328.55 | $425.67 | $789.06 | |
Anthem BCBS
| Professional | $75.00 | $75.00 | $221.34 | |
Cigna
| Facility | $211.27 | $211.27 | $211.27 | |
Cigna
| Professional | $154.22 | $155.06 | $211.27 | |
Harvard Pilgrim
| Professional | $299.10 | $299.10 | $299.10 | |
Martin's Point
| Professional | $203.06 | $224.22 | $233.51 | |
United
| Professional | $129.97 | $184.30 | $423.82 |