| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.64 | $152.04 | $152.04 | |
Anthem BCBS
| Facility | $200.78 | $260.13 | $482.20 | |
Anthem BCBS
| Professional | $123.82 | $130.27 | $169.48 | |
Cigna
| Facility | $158.25 | $170.15 | $170.15 | |
Cigna
| Professional | $124.21 | $124.21 | $170.15 | |
Harvard Pilgrim
| Professional | $182.78 | $182.78 | $182.78 | |
Martin's Point
| Professional | $127.11 | $152.04 | $152.04 | |
United
| Professional | $75.08 | $112.62 | $259.00 |