| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $35.09 | $74.56 | |
Aetna
| Professional | $28.42 | $28.42 | $28.42 | |
Anthem BCBS
| Facility | $33.96 | $42.62 | $121.31 | |
Anthem BCBS
| Professional | $14.04 | $14.04 | $22.80 | |
Cigna
| Facility | $74.84 | $74.84 | $74.84 | |
Harvard Pilgrim
| Professional | $35.09 | $35.09 | $35.44 | |
Martin's Point
| Facility | $35.09 | $35.09 | $56.85 | |
Martin's Point
| Professional | $28.42 | $28.42 | $35.09 | |
United
| Professional | $17.89 | $21.05 | $52.64 |