| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.91 | $97.91 | $97.91 | |
Aetna
| Professional | $48.61 | $97.91 | $102.92 | |
Anthem BCBS
| Professional | $236.16 | $236.16 | $357.90 | |
Cigna
| Facility | $63.99 | $63.99 | $63.99 | |
Cigna
| Professional | $23.06 | $268.18 | $268.18 | |
Harvard Pilgrim
| Professional | $69.73 | $82.03 | $146.72 | |
Martin's Point
| Professional | $48.61 | $97.91 | $102.92 | |
United
| Professional | $95.47 | $138.00 | $168.55 |