| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.84 | $87.43 | $87.43 | |
Anthem BCBS
| Facility | $128.11 | $165.98 | $307.67 | |
Anthem BCBS
| Professional | $45.00 | $45.00 | $45.00 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $61.11 | $61.11 | $83.71 | |
Harvard Pilgrim
| Professional | $116.62 | $116.62 | $116.62 | |
Martin's Point
| Professional | $75.00 | $87.43 | $87.43 | |
United
| Facility | $41.99 | $65.33 | $65.33 | |
United
| Professional | $51.62 | $72.39 | $175.49 |