| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $263.03 | $602.56 | |
Aetna
| Professional | $93.33 | $134.90 | $281.84 | |
Anthem BCBS
| Facility | $165.96 | $660.69 | $724.44 | |
Anthem BCBS
| Professional | $64.57 | $85.11 | $102.33 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $79.43 | $144.54 | $346.74 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $169.82 | |
Martin's Point
| Facility | $141.25 | $263.03 | $602.56 | |
Martin's Point
| Professional | $112.20 | $147.91 | $251.19 | |
United
| Professional | $61.66 | $141.25 | $181.97 |