| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.71 | $52.71 | $112.01 | |
Aetna
| Professional | $52.71 | $52.71 | $52.71 | |
Anthem BCBS
| Facility | $269.76 | $337.21 | $393.05 | |
Anthem BCBS
| Professional | $21.08 | $21.08 | $44.80 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
Harvard Pilgrim
| Professional | $52.71 | $52.71 | $63.83 | |
Martin's Point
| Facility | $52.71 | $52.71 | $85.39 | |
Martin's Point
| Professional | $52.71 | $52.71 | $52.71 | |
United
| Professional | $31.63 | $31.63 | $76.43 |