| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.46 | $72.19 | $322.69 | |
Aetna
| Professional | $58.47 | $58.47 | $72.19 | |
Anthem BCBS
| Facility | $69.86 | $106.12 | $500.06 | |
Anthem BCBS
| Professional | $28.88 | $28.88 | $61.36 | |
Cigna
| Facility | $74.59 | $76.86 | $153.97 | |
Cigna
| Professional | $69.92 | $76.86 | $103.77 | |
Harvard Pilgrim
| Professional | $72.19 | $72.19 | $87.42 | |
Martin's Point
| Facility | $72.19 | $72.19 | $322.69 | |
Martin's Point
| Professional | $58.47 | $72.19 | $75.79 | |
United
| Professional | $43.31 | $43.31 | $104.68 |