| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.84 | $306.10 | $324.86 | |
Anthem BCBS
| Facility | $476.01 | $616.71 | $1,143.19 | |
Anthem BCBS
| Professional | $295.10 | $312.60 | $312.60 | |
Cigna
| Facility | $336.03 | $336.03 | $393.38 | |
Cigna
| Professional | $245.30 | $245.30 | $336.03 | |
Harvard Pilgrim
| Professional | $433.34 | $433.34 | $433.34 | |
Martin's Point
| Professional | $294.22 | $306.10 | $324.86 | |
United
| Professional | $188.30 | $407.32 | $592.87 |