| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $173.78 | |
Aetna
| Professional | $57.54 | $81.28 | $102.33 | |
Anthem BCBS
| Professional | $42.66 | $69.18 | $371.54 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Harvard Pilgrim
| Professional | $107.15 | $107.15 | $128.82 | |
Martin's Point
| Facility | $107.15 | $107.15 | $107.15 | |
Martin's Point
| Professional | $57.54 | $83.18 | $102.33 | |
United
| Professional | $64.57 | $107.15 | $154.88 |