| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.26 | $45.22 | $161.55 | |
Aetna
| Professional | $45.22 | $45.23 | $52.99 | |
Anthem BCBS
| Facility | $129.47 | $161.85 | $188.66 | |
Anthem BCBS
| Professional | $14.13 | $14.13 | $25.30 | |
Cigna
| Facility | $41.50 | $41.50 | $45.23 | |
Cigna
| Professional | $16.61 | $40.60 | $50.75 | |
Harvard Pilgrim
| Professional | $35.33 | $35.33 | $42.78 | |
Martin's Point
| Facility | $31.60 | $51.24 | $89.48 | |
Martin's Point
| Professional | $35.33 | $45.22 | $52.99 | |
United
| Professional | $24.63 | $24.65 | $59.58 |