| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.29 | $252.11 | $530.07 | |
Aetna
| Professional | $103.91 | $103.91 | $163.22 | |
Anthem BCBS
| Facility | $124.15 | $188.59 | $737.67 | |
Anthem BCBS
| Professional | $51.32 | $51.32 | $97.94 | |
Cigna
| Facility | $273.64 | $273.64 | $273.64 | |
Cigna
| Professional | $90.30 | $129.96 | $217.85 | |
Harvard Pilgrim
| Professional | $128.29 | $128.29 | $129.57 | |
Martin's Point
| Facility | $128.29 | $249.45 | $591.91 | |
Martin's Point
| Professional | $103.91 | $128.29 | $128.29 | |
United
| Professional | $61.92 | $76.97 | $174.76 |