| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $174.81 | $437.03 | |
Aetna
| Professional | $141.60 | $141.60 | $174.81 | |
Anthem BCBS
| Facility | $169.16 | $256.97 | $722.56 | |
Anthem BCBS
| Professional | $69.92 | $69.92 | $165.90 | |
Cigna
| Facility | $372.88 | $372.88 | $372.88 | |
Cigna
| Professional | $110.64 | $176.77 | $184.69 | |
Harvard Pilgrim
| Professional | $174.81 | $174.81 | $176.56 | |
Martin's Point
| Facility | $174.81 | $174.81 | $437.03 | |
Martin's Point
| Professional | $141.60 | $174.81 | $174.81 | |
United
| Professional | $89.15 | $104.89 | $262.22 |