| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.77 | $268.95 | $686.69 | |
Aetna
| Professional | $33.14 | $63.80 | $63.80 | |
Anthem BCBS
| Facility | $76.23 | $105.16 | $308.94 | |
Anthem BCBS
| Professional | $31.51 | $31.51 | $51.20 | |
Cigna
| Facility | $33.61 | $39.54 | $64.95 | |
Cigna
| Professional | $38.61 | $79.87 | $113.58 | |
Harvard Pilgrim
| Professional | $78.77 | $78.77 | $95.39 | |
Martin's Point
| Facility | $78.77 | $254.02 | $685.50 | |
Martin's Point
| Professional | $37.34 | $78.76 | $82.70 | |
United
| Professional | $23.19 | $47.26 | $80.73 |