| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $147.91 | |
Aetna
| Professional | $61.66 | $74.13 | $87.10 | |
Anthem BCBS
| Facility | $107.15 | $724.44 | $776.25 | |
Anthem BCBS
| Professional | $36.31 | $54.95 | $112.20 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Harvard Pilgrim
| Professional | $91.20 | $91.20 | $109.65 | |
Martin's Point
| Facility | $91.20 | $91.20 | $91.20 | |
Martin's Point
| Professional | $61.66 | $74.13 | $87.10 | |
United
| Professional | $54.95 | $91.20 | $169.82 |