| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $761.10 | $1,283.02 | $1,356.62 | |
Aetna
| Professional | 55 | $192.45 | $192.45 | $200.17 |
Anthem BCBS
| Professional | $863.59 | $1,094.60 | $1,613.16 | |
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
Cigna
| Professional | $1,135.80 | $1,533.71 | $1,835.73 | |
Harvard Pilgrim
| Professional | $1,044.93 | $1,208.98 | $1,854.65 | |
Martin's Point
| Professional | $761.10 | $1,079.27 | $1,356.62 | |
Martin's Point
| Professional | 55 | $192.45 | $192.45 | $192.45 |
United
| Professional | $843.87 | $1,217.86 | $1,710.60 |