| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.70 | $204.78 | $226.84 | |
Anthem BCBS
| Facility | $839.50 | $839.50 | $839.50 | |
Anthem BCBS
| Professional | $348.56 | $356.93 | $356.93 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Harvard Pilgrim
| Professional | $291.06 | $291.06 | $291.06 | |
Martin's Point
| Professional | $120.70 | $204.78 | $226.84 | |
United
| Professional | $139.41 | $178.07 | $296.77 |