| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.29 | $148.41 | $148.41 | |
Anthem BCBS
| Facility | $196.01 | $253.94 | $470.73 | |
Anthem BCBS
| Professional | $120.12 | $124.91 | $165.45 | |
Cigna
| Facility | $122.31 | $122.31 | $161.97 | |
Cigna
| Professional | $89.29 | $89.29 | $122.31 | |
Harvard Pilgrim
| Professional | $178.43 | $178.43 | $178.43 | |
Martin's Point
| Professional | $124.09 | $148.41 | $148.41 | |
United
| Professional | $73.30 | $109.94 | $252.85 |