| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.51 | $248.51 | $528.08 | |
Aetna
| Professional | $248.51 | $248.51 | $248.51 | |
Anthem BCBS
| Professional | $99.40 | $109.34 | $161.53 | |
Cigna
| Facility | $530.05 | $530.05 | $530.05 | |
Harvard Pilgrim
| Professional | $248.51 | $248.51 | $251.00 | |
Martin's Point
| Facility | $248.51 | $248.51 | $402.59 | |
Martin's Point
| Professional | $248.51 | $248.51 | $248.51 | |
United
| Professional | $149.11 | $248.51 | $434.89 |