| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.43 | $114.43 | $243.16 | |
Aetna
| Professional | $92.69 | $92.69 | $92.69 | |
Anthem BCBS
| Facility | $634.13 | $732.05 | $853.28 | |
Anthem BCBS
| Professional | $31.92 | $31.92 | $97.26 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
Harvard Pilgrim
| Professional | $114.43 | $114.43 | $138.57 | |
Martin's Point
| Facility | $114.43 | $114.43 | $185.38 | |
Martin's Point
| Professional | $92.69 | $92.69 | $114.43 | |
United
| Professional | $68.66 | $68.66 | $165.92 |