| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $141.25 | $630.96 | |
Aetna
| Professional | $77.62 | $112.20 | $141.25 | |
Anthem BCBS
| Facility | $165.96 | $912.01 | $977.24 | |
Anthem BCBS
| Professional | $57.54 | $85.11 | $134.90 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $63.10 | $144.54 | $275.42 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $169.82 | |
Martin's Point
| Facility | $114.82 | $141.25 | $602.56 | |
Martin's Point
| Professional | $100.00 | $134.90 | $213.80 | |
United
| Professional | $85.11 | $141.25 | $218.78 |