| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.72 | $173.96 | $173.96 | |
Anthem BCBS
| Professional | $183.74 | $183.74 | $183.74 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $155.75 | $210.68 | |
Harvard Pilgrim
| Professional | $235.32 | $235.32 | $235.32 | |
Martin's Point
| Professional | $170.86 | $173.96 | $173.96 | |
United
| Professional | $95.32 | $134.99 | $379.05 |