| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.18 | $189.47 | $189.47 | |
Anthem BCBS
| Professional | $182.18 | $182.18 | $182.18 | |
Cigna
| Facility | $182.18 | $182.18 | $182.18 | |
Cigna
| Professional | $182.18 | $182.18 | $182.18 | |
Harvard Pilgrim
| Professional | $182.18 | $182.18 | $182.18 | |
Martin's Point
| Professional | $182.18 | $189.47 | $189.47 | |
United
| Professional | $182.18 | $182.18 | $273.27 |