| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.54 | $255.18 | $255.18 | |
Anthem BCBS
| Facility | $336.98 | $436.59 | $809.31 | |
Anthem BCBS
| Professional | $201.58 | $203.16 | $284.44 | |
Cigna
| Facility | $221.07 | $221.07 | $278.45 | |
Cigna
| Professional | $161.38 | $161.38 | $221.07 | |
Harvard Pilgrim
| Professional | $306.77 | $306.77 | $306.77 | |
Martin's Point
| Professional | $213.33 | $255.18 | $255.18 | |
United
| Professional | $126.02 | $239.30 | $434.70 |