| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.96 | $163.96 | $348.42 | |
Aetna
| Professional | $132.81 | $132.81 | $132.81 | |
Anthem BCBS
| Facility | $158.66 | $241.02 | $1,448.27 | |
Anthem BCBS
| Professional | $65.58 | $65.58 | $172.05 | |
Cigna
| Facility | $349.71 | $349.71 | $349.71 | |
Harvard Pilgrim
| Professional | $163.96 | $163.96 | $165.60 | |
Martin's Point
| Facility | $163.96 | $163.96 | $265.62 | |
Martin's Point
| Professional | $132.81 | $132.81 | $163.96 | |
United
| Professional | $98.38 | $121.45 | $303.63 |