| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.18 | $123.68 | $741.15 | |
Aetna
| Professional | $99.82 | $100.18 | $169.84 | |
Anthem BCBS
| Facility | $119.69 | $181.81 | $702.83 | |
Anthem BCBS
| Professional | $49.47 | $49.47 | $159.88 | |
Cigna
| Facility | $263.80 | $263.80 | $263.80 | |
Cigna
| Professional | $87.10 | $125.05 | $130.56 | |
Harvard Pilgrim
| Professional | $123.68 | $123.68 | $124.92 | |
Martin's Point
| Facility | $123.68 | $123.68 | $741.15 | |
Martin's Point
| Professional | $100.18 | $123.68 | $169.84 | |
United
| Professional | $63.08 | $101.09 | $252.72 |