| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
Anthem BCBS
| Professional | $485.17 | $487.65 | $500.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $549.90 | $549.90 | $549.90 | |
Harvard Pilgrim
| Professional | $462.48 | $462.48 | $462.48 | |
Martin's Point
| Professional | $229.63 | $229.63 | $497.70 |