| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.49 | $87.54 | $248.88 | |
Aetna
| Professional | $40.49 | $82.45 | $190.10 | |
Anthem BCBS
| Professional | $55.38 | $104.58 | $183.39 | |
Anthem BCBS
| Professional | 50 | $83.07 | $156.87 | $275.08 |
Cigna
| Professional | $54.75 | $100.47 | $245.76 | |
Harvard Pilgrim
| Professional | $59.77 | $126.48 | $250.52 | |
Martin's Point
| Facility | $66.56 | $87.54 | $248.88 | |
Martin's Point
| Professional | $40.49 | $88.35 | $187.14 | |
United
| Professional | $99.66 | $166.46 | $250.52 |