| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $186.21 | |
Aetna
| Professional | $79.43 | $89.13 | $112.20 | |
Anthem BCBS
| Facility | $131.83 | $724.44 | $794.33 | |
Anthem BCBS
| Professional | $45.71 | $69.18 | $114.82 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Harvard Pilgrim
| Professional | $69.18 | $114.82 | $138.04 | |
Martin's Point
| Facility | $114.82 | $114.82 | $114.82 | |
Martin's Point
| Professional | $79.43 | $91.20 | $114.82 | |
United
| Professional | $69.18 | $69.18 | $169.82 |