| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $100.00 | |
Aetna
| Professional | $42.66 | $47.86 | $61.66 | |
Anthem BCBS
| Professional | $25.12 | $31.62 | $40.74 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
Harvard Pilgrim
| Professional | $37.15 | $72.44 | $81.28 | |
Martin's Point
| Facility | $61.66 | $61.66 | $61.66 | |
Martin's Point
| Professional | $42.66 | $60.26 | $61.66 | |
United
| Professional | $31.62 | $37.15 | $109.65 |