| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $298.52 | $320.39 | $320.39 | |
Anthem BCBS
| Professional | $196.43 | $206.56 | $650.00 | |
Cigna
| Facility | $247.20 | $247.20 | $247.20 | |
Cigna
| Professional | $205.76 | $205.76 | $205.76 | |
Harvard Pilgrim
| Professional | $200.46 | $200.46 | $200.46 | |
Martin's Point
| Professional | $298.52 | $320.39 | $320.39 |