| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
Anthem BCBS
| Professional | $248.99 | $249.99 | $650.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Harvard Pilgrim
| Professional | $249.23 | $249.23 | $249.23 | |
Martin's Point
| Professional | $89.88 | $174.10 | $333.70 |