| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $120.23 | $346.74 | |
Anthem BCBS
| Facility | $223.87 | $269.15 | $309.03 | |
Anthem BCBS
| Professional | $123.03 | $123.03 | $158.49 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $91.20 | $91.20 | $125.89 | |
Harvard Pilgrim
| Professional | $199.53 | $199.53 | $239.88 | |
Martin's Point
| Professional | $100.00 | $128.82 | $346.74 | |
United
| Facility | $64.57 | $100.00 | $100.00 | |
United
| Professional | $77.62 | $123.03 | $213.80 |