| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.31 | $207.31 | $518.28 | |
Aetna
| Professional | $167.92 | $167.92 | $207.31 | |
Anthem BCBS
| Facility | $200.61 | $304.75 | $716.67 | |
Anthem BCBS
| Professional | $82.92 | $82.92 | $408.79 | |
Cigna
| Facility | $442.18 | $442.18 | $442.18 | |
Cigna
| Professional | $145.85 | $209.83 | $219.07 | |
Harvard Pilgrim
| Professional | $207.31 | $207.31 | $209.38 | |
Martin's Point
| Facility | $207.31 | $207.31 | $518.28 | |
Martin's Point
| Professional | $167.92 | $207.31 | $207.31 | |
United
| Professional | $124.39 | $215.70 | $646.11 |