| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $229.09 | |
Aetna
| Professional | $77.62 | $107.15 | $138.04 | |
Anthem BCBS
| Facility | $138.04 | $165.96 | $489.78 | |
Anthem BCBS
| Professional | $5.89 | $69.18 | $93.33 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $169.82 | |
Martin's Point
| Facility | $141.25 | $141.25 | $141.25 | |
Martin's Point
| Professional | $77.62 | $112.20 | $138.04 | |
United
| Professional | $85.11 | $141.25 | $213.80 |