| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.49 | $58.49 | $146.22 | |
Aetna
| Professional | $47.38 | $47.38 | $58.49 | |
Anthem BCBS
| Facility | $56.60 | $78.08 | $263.82 | |
Anthem BCBS
| Professional | $23.40 | $23.40 | $38.01 | |
Cigna
| Facility | $124.76 | $124.76 | $124.76 | |
Cigna
| Professional | $37.03 | $59.25 | $61.81 | |
Harvard Pilgrim
| Professional | $58.49 | $58.49 | $59.07 | |
Martin's Point
| Facility | $58.49 | $58.49 | $146.22 | |
Martin's Point
| Professional | $47.38 | $58.49 | $58.49 | |
United
| Professional | $35.09 | $58.49 | $102.36 |