| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.04 | $143.50 | $143.50 | |
Anthem BCBS
| Facility | $210.27 | $272.43 | $504.99 | |
Anthem BCBS
| Professional | $131.80 | $138.10 | $138.10 | |
Cigna
| Facility | $135.22 | $135.22 | $135.22 | |
Cigna
| Professional | $98.72 | $135.22 | $192.47 | |
Harvard Pilgrim
| Professional | $191.42 | $191.42 | $191.42 | |
Martin's Point
| Professional | $129.97 | $143.50 | $143.50 | |
United
| Professional | $83.19 | $117.95 | $271.25 |