| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $169.96 | $236.68 | |
Aetna
| Professional | $169.96 | $169.96 | $186.95 | |
Anthem BCBS
| Facility | $515.57 | $515.57 | $515.57 | |
Anthem BCBS
| Professional | $170.09 | $170.09 | $170.09 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Harvard Pilgrim
| Professional | $169.96 | $196.64 | $301.66 | |
Martin's Point
| Facility | $236.68 | $236.68 | $236.68 | |
Martin's Point
| Professional | $169.96 | $169.96 | $195.45 | |
United
| Professional | $141.74 | $166.75 | $250.13 |