| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.15 | $130.15 | $420.00 | |
Aetna
| Professional | $91.23 | $201.50 | $539.76 | |
Anthem BCBS
| Professional | $125.58 | $150.84 | $200.93 | |
Cigna
| Professional | $130.91 | $251.89 | $668.78 | |
Harvard Pilgrim
| Professional | $131.49 | $303.27 | $664.47 | |
Martin's Point
| Professional | $130.15 | $194.04 | $539.76 | |
United
| Professional | $274.77 | $450.31 | $712.20 |