| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.09 | $138.10 | $138.10 | |
Anthem BCBS
| Facility | $202.36 | $262.17 | $485.98 | |
Anthem BCBS
| Professional | $122.25 | $128.28 | $128.28 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $172.53 | $189.07 | |
Harvard Pilgrim
| Professional | $184.21 | $184.21 | $184.21 | |
Martin's Point
| Professional | $120.73 | $138.10 | $138.10 | |
United
| Professional | $75.67 | $113.51 | $261.02 |