| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.64 | $47.25 | $128.06 | |
Aetna
| Professional | $38.27 | $38.27 | $47.25 | |
Anthem BCBS
| Facility | $45.72 | $69.45 | $1,030.85 | |
Anthem BCBS
| Professional | $18.89 | $18.89 | $130.03 | |
Cigna
| Facility | $100.77 | $100.77 | $100.77 | |
Cigna
| Professional | $29.95 | $47.79 | $50.10 | |
Harvard Pilgrim
| Professional | $47.25 | $47.25 | $47.72 | |
Martin's Point
| Facility | $47.25 | $47.25 | $211.21 | |
Martin's Point
| Professional | $38.27 | $47.25 | $47.25 | |
United
| Professional | $24.10 | $28.35 | $82.69 |