| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.92 | $68.92 | $172.30 | |
Aetna
| Professional | $55.83 | $55.83 | $68.92 | |
Anthem BCBS
| Facility | $66.69 | $92.01 | $688.94 | |
Anthem BCBS
| Professional | $27.57 | $27.57 | $77.75 | |
Cigna
| Professional | $69.72 | $79.30 | $99.12 | |
Harvard Pilgrim
| Professional | $68.92 | $68.92 | $83.46 | |
Martin's Point
| Facility | $68.92 | $68.92 | $172.30 | |
Martin's Point
| Professional | $55.83 | $55.83 | $68.92 | |
United
| Professional | $40.52 | $41.35 | $117.49 |