| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.64 | $47.00 | $128.06 | |
Aetna
| Professional | $38.07 | $38.07 | $47.00 | |
Anthem BCBS
| Facility | $45.48 | $69.09 | $660.32 | |
Anthem BCBS
| Professional | $18.80 | $18.80 | $83.29 | |
Cigna
| Facility | $100.25 | $100.25 | $100.25 | |
Cigna
| Professional | $29.72 | $47.47 | $49.74 | |
Harvard Pilgrim
| Professional | $47.00 | $47.00 | $47.47 | |
Martin's Point
| Facility | $47.00 | $47.00 | $210.09 | |
Martin's Point
| Professional | $38.07 | $47.00 | $47.00 | |
United
| Professional | $28.20 | $28.20 | $70.50 |