| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.34 | $94.41 | $94.41 | |
Anthem BCBS
| Facility | $138.35 | $179.24 | $332.25 | |
Anthem BCBS
| Professional | $75.00 | $75.00 | $90.84 | |
Cigna
| Facility | $88.96 | $88.96 | $88.96 | |
Cigna
| Professional | $64.94 | $64.94 | $88.96 | |
Harvard Pilgrim
| Professional | $125.93 | $125.93 | $125.93 | |
Martin's Point
| Professional | $87.58 | $94.41 | $94.41 | |
United
| Professional | $51.73 | $77.59 | $178.47 |