| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.53 | $142.63 | $585.60 | |
Aetna
| Professional | $115.53 | $118.37 | $142.63 | |
Anthem BCBS
| Facility | $138.02 | $209.67 | $1,020.49 | |
Anthem BCBS
| Professional | $57.05 | $57.05 | $135.49 | |
Cigna
| Professional | $93.50 | $144.36 | $182.59 | |
Harvard Pilgrim
| Professional | $142.63 | $142.63 | $144.06 | |
Martin's Point
| Facility | $115.53 | $142.63 | $597.50 | |
Martin's Point
| Professional | $115.53 | $142.63 | $142.63 | |
United
| Professional | $72.73 | $85.58 | $249.60 |