| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.64 | $102.26 | $217.30 | |
Aetna
| Professional | $82.83 | $82.83 | $140.43 | |
Anthem BCBS
| Facility | $98.96 | $150.32 | $806.63 | |
Anthem BCBS
| Professional | $40.90 | $40.90 | $101.75 | |
Cigna
| Facility | $218.12 | $218.12 | $218.12 | |
Cigna
| Professional | $64.69 | $103.44 | $107.89 | |
Harvard Pilgrim
| Professional | $102.26 | $102.26 | $103.28 | |
Martin's Point
| Facility | $102.26 | $102.26 | $448.81 | |
Martin's Point
| Professional | $82.83 | $102.26 | $134.93 | |
United
| Professional | $52.15 | $61.36 | $178.96 |