| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.36 | $125.14 | $125.14 | |
Anthem BCBS
| Facility | $183.36 | $237.56 | $440.36 | |
Anthem BCBS
| Professional | $114.31 | $114.31 | $115.83 | |
Cigna
| Facility | $127.07 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $127.07 | |
Harvard Pilgrim
| Professional | $166.92 | $166.92 | $166.92 | |
Martin's Point
| Professional | $112.90 | $125.14 | $129.83 | |
United
| Professional | $68.56 | $102.85 | $236.52 |