| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $159.57 | $242.86 | |
Aetna
| Professional | $28.42 | $39.64 | $52.63 | |
Anthem BCBS
| Facility | $33.96 | $46.85 | $245.56 | |
Anthem BCBS
| Professional | $14.04 | $14.04 | $33.67 | |
Cigna
| Facility | $74.84 | $74.84 | $74.84 | |
Cigna
| Professional | $24.69 | $35.35 | $59.82 | |
Community Health Options
| Facility | $113.85 | $113.85 | $113.85 | |
Harvard Pilgrim
| Professional | $35.09 | $35.09 | $35.44 | |
Martin's Point
| Facility | $35.09 | $119.86 | $242.86 | |
Martin's Point
| Professional | $28.42 | $35.09 | $50.52 | |
United
| Professional | $21.05 | $23.88 | $62.11 |