| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.22 | $122.22 | $305.55 | |
Aetna
| Professional | $99.00 | $99.00 | $122.22 | |
Anthem BCBS
| Facility | $118.27 | $179.66 | $1,079.58 | |
Anthem BCBS
| Professional | $48.89 | $48.89 | $143.34 | |
Cigna
| Facility | $260.68 | $260.68 | $260.68 | |
Cigna
| Professional | $85.95 | $123.74 | $187.05 | |
Harvard Pilgrim
| Professional | $122.22 | $122.22 | $123.44 | |
Martin's Point
| Facility | $122.22 | $122.22 | $305.55 | |
Martin's Point
| Professional | $99.00 | $122.22 | $122.22 | |
United
| Professional | $61.11 | $90.53 | $226.34 |