| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $117.49 | $323.59 | |
Aetna
| Professional | $50.12 | $57.54 | $74.13 | |
Anthem BCBS
| Facility | $83.18 | $457.09 | $501.19 | |
Anthem BCBS
| Professional | $28.84 | $43.65 | $72.44 | |
Cigna
| Facility | $74.13 | $77.62 | $162.18 | |
Cigna
| Professional | $30.90 | $77.62 | $104.71 | |
Harvard Pilgrim
| Professional | $43.65 | $72.44 | $87.10 | |
Martin's Point
| Facility | $72.44 | $72.44 | $309.03 | |
Martin's Point
| Professional | $53.70 | $72.44 | $107.15 | |
United
| Professional | $43.65 | $72.44 | $112.20 |