| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $549.54 | |
Aetna
| Professional | $81.28 | $100.00 | $123.03 | |
Anthem BCBS
| Facility | $141.25 | $954.99 | $1,047.13 | |
Anthem BCBS
| Professional | $48.98 | $74.13 | $144.54 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $64.57 | $123.03 | $281.84 | |
Harvard Pilgrim
| Professional | $123.03 | $123.03 | $147.91 | |
Martin's Point
| Facility | $123.03 | $123.03 | $199.53 | |
Martin's Point
| Professional | $91.20 | $117.49 | $181.97 | |
United
| Professional | $74.13 | $123.03 | $234.42 |