| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $171.96 | $171.96 | |
Anthem BCBS
| Professional | $296.88 | $307.05 | $650.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $354.90 | $354.90 | $354.90 | |
Harvard Pilgrim
| Professional | $321.27 | $321.27 | $321.27 | |
Martin's Point
| Professional | $134.90 | $171.96 | $171.96 |