| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.62 | $96.63 | $96.63 | |
Aetna
| Professional | $96.62 | $96.82 | $176.88 | |
Anthem BCBS
| Professional | $576.03 | $842.80 | $1,012.37 | |
Cigna
| Professional | $226.18 | $316.89 | $426.28 | |
Harvard Pilgrim
| Professional | $172.38 | $212.94 | $359.95 | |
Martin's Point
| Professional | $96.62 | $96.82 | $188.42 | |
United
| Professional | $127.53 | $237.23 | $404.96 |