| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.63 | $142.63 | $303.08 | |
Aetna
| Professional | $115.53 | $115.53 | $115.53 | |
Anthem BCBS
| Facility | $138.02 | $173.25 | $493.07 | |
Anthem BCBS
| Professional | $57.05 | $57.05 | $92.70 | |
Cigna
| Facility | $304.23 | $304.23 | $304.23 | |
Harvard Pilgrim
| Professional | $142.63 | $142.63 | $144.06 | |
Martin's Point
| Facility | $142.63 | $142.63 | $231.06 | |
Martin's Point
| Professional | $115.53 | $115.53 | $142.63 | |
United
| Professional | $72.73 | $85.58 | $249.60 |