| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.97 | $184.74 | $530.53 | |
Aetna
| Professional | $110.97 | $116.45 | $205.50 | |
Anthem BCBS
| Facility | $132.57 | $201.39 | $980.21 | |
Anthem BCBS
| Professional | $54.80 | $54.80 | $130.15 | |
Cigna
| Facility | $292.22 | $292.22 | $292.22 | |
Cigna
| Professional | $86.87 | $138.79 | $169.64 | |
Harvard Pilgrim
| Professional | $137.00 | $137.00 | $138.37 | |
Martin's Point
| Facility | $137.00 | $204.43 | $589.27 | |
Martin's Point
| Professional | $110.97 | $137.00 | $188.14 | |
United
| Professional | $68.50 | $82.20 | $239.75 |