| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.32 | $208.66 | $208.66 | |
Anthem BCBS
| Facility | $305.76 | $396.14 | $734.31 | |
Anthem BCBS
| Professional | $191.64 | $200.79 | $200.79 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $212.98 | $296.93 | |
Harvard Pilgrim
| Professional | $278.33 | $278.33 | $278.33 | |
Martin's Point
| Professional | $193.58 | $208.66 | $208.66 | |
United
| Professional | $120.94 | $171.50 | $394.41 |