| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.66 | $91.66 | $194.78 | |
Aetna
| Professional | $74.23 | $74.23 | $74.23 | |
Anthem BCBS
| Facility | $88.70 | $134.74 | $809.71 | |
Anthem BCBS
| Professional | $36.65 | $36.65 | $96.19 | |
Cigna
| Facility | $195.51 | $195.51 | $195.51 | |
Harvard Pilgrim
| Professional | $91.66 | $91.66 | $92.58 | |
Martin's Point
| Facility | $91.66 | $91.66 | $148.49 | |
Martin's Point
| Professional | $74.23 | $74.23 | $91.66 | |
United
| Professional | $55.00 | $67.90 | $164.10 |