| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.93 | $130.91 | $130.91 | |
Anthem BCBS
| Facility | $172.88 | $223.98 | $415.20 | |
Anthem BCBS
| Professional | $117.55 | $117.55 | $145.93 | |
Cigna
| Facility | $120.62 | $120.62 | $142.87 | |
Cigna
| Professional | $88.05 | $88.05 | $120.62 | |
Harvard Pilgrim
| Professional | $157.38 | $157.38 | $157.38 | |
Martin's Point
| Professional | $57.29 | $130.91 | $130.91 | |
United
| Professional | $64.65 | $96.97 | $223.01 |