| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $75.86 | |
Aetna
| Professional | $25.12 | $34.67 | $44.67 | |
Anthem BCBS
| Facility | $263.03 | $302.00 | $323.59 | |
Anthem BCBS
| Professional | $18.62 | $30.90 | $46.77 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Harvard Pilgrim
| Professional | $46.77 | $46.77 | $56.23 | |
Martin's Point
| Facility | $46.77 | $46.77 | $46.77 | |
Martin's Point
| Professional | $25.12 | $36.31 | $44.67 | |
United
| Professional | $28.18 | $46.77 | $70.79 |