| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $70.79 | $302.00 | |
Aetna
| Professional | $70.79 | $72.44 | $208.93 | |
Anthem BCBS
| Facility | $234.42 | $269.15 | $288.40 | |
Anthem BCBS
| Professional | $19.95 | $35.48 | $45.71 | |
Cigna
| Facility | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Harvard Pilgrim
| Professional | $70.79 | $70.79 | $85.11 | |
Martin's Point
| Facility | $44.67 | $70.79 | $302.00 | |
Martin's Point
| Professional | $70.79 | $74.13 | $141.25 | |
United
| Professional | $42.66 | $70.79 | $112.20 |