| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.53 | $89.49 | $89.49 | |
Anthem BCBS
| Professional | $162.57 | $162.57 | $504.43 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $139.08 | |
Harvard Pilgrim
| Professional | $294.14 | $294.14 | $294.14 | |
Martin's Point
| Professional | $87.69 | $89.49 | $89.49 | |
United
| Professional | $49.04 | $91.04 | $194.99 |