| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $323.59 | |
Aetna
| Professional | $89.13 | $114.82 | $151.36 | |
Anthem BCBS
| Facility | $190.55 | $229.09 | $691.83 | |
Anthem BCBS
| Professional | $45.71 | $95.50 | $128.82 | |
Cigna
| Facility | $446.68 | $446.68 | $446.68 | |
Harvard Pilgrim
| Professional | $199.53 | $199.53 | $239.88 | |
Martin's Point
| Facility | $199.53 | $199.53 | $199.53 | |
Martin's Point
| Professional | $89.13 | $120.23 | $151.36 | |
United
| Professional | $89.13 | $199.53 | $245.47 |