| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $109.65 | $208.93 | |
Anthem BCBS
| Facility | $181.97 | $218.78 | $251.19 | |
Anthem BCBS
| Professional | $104.71 | $104.71 | $134.90 | |
Cigna
| Facility | $107.15 | $107.15 | $138.04 | |
Cigna
| Professional | $77.62 | $77.62 | $107.15 | |
Harvard Pilgrim
| Professional | $162.18 | $162.18 | $194.98 | |
Martin's Point
| Professional | $89.13 | $112.20 | $288.40 | |
United
| Facility | $53.70 | $85.11 | $85.11 | |
United
| Professional | $66.07 | $104.71 | $181.97 |