| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.33 | $150.33 | $375.83 | |
Aetna
| Professional | $121.77 | $121.77 | $150.33 | |
Anthem BCBS
| Facility | $145.47 | $220.99 | $724.00 | |
Anthem BCBS
| Professional | $60.13 | $60.13 | $97.71 | |
Cigna
| Facility | $320.64 | $320.64 | $320.64 | |
Cigna
| Professional | $95.33 | $152.22 | $158.72 | |
Harvard Pilgrim
| Professional | $150.33 | $150.33 | $151.83 | |
Martin's Point
| Facility | $150.33 | $150.33 | $375.83 | |
Martin's Point
| Professional | $121.77 | $150.33 | $150.33 | |
United
| Professional | $75.17 | $90.20 | $263.08 |