| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.57 | $412.43 | $429.48 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $40.83 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $73.18 | $73.18 | $73.18 | |
Harvard Pilgrim
| Professional | $128.47 | $128.47 | $128.47 | |
Martin's Point
| Professional | $385.57 | $412.43 | $429.48 | |
United
| Professional | $128.47 | $128.47 | $128.47 |