| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.25 | $193.25 | $483.13 | |
Aetna
| Professional | $156.53 | $156.53 | $193.25 | |
Anthem BCBS
| Facility | $187.01 | $284.08 | $1,382.67 | |
Anthem BCBS
| Professional | $77.30 | $77.30 | $183.58 | |
Cigna
| Professional | $126.65 | $195.43 | $247.32 | |
Harvard Pilgrim
| Professional | $193.25 | $193.25 | $195.18 | |
Martin's Point
| Facility | $193.25 | $193.25 | $483.13 | |
Martin's Point
| Professional | $156.53 | $193.25 | $193.25 | |
United
| Professional | $115.95 | $115.95 | $289.88 |