| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.85 | $107.85 | $147.00 | |
Aetna
| Professional | $92.39 | $106.33 | $109.41 | |
Anthem BCBS
| Professional | $116.26 | $152.22 | $183.13 | |
Cigna
| Professional | $89.14 | $118.34 | $218.03 | |
Harvard Pilgrim
| Professional | $107.39 | $119.54 | $197.55 | |
Martin's Point
| Facility | $107.85 | $112.27 | $147.00 | |
Martin's Point
| Professional | $96.79 | $107.86 | $109.41 | |
United
| Professional | $89.52 | $149.94 | $194.80 |