| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.92 | $120.89 | $170.41 | |
Aetna
| Professional | $58.92 | $72.06 | $167.83 | |
Anthem BCBS
| Professional | $79.31 | $103.13 | $164.29 | |
Cigna
| Facility | $63.34 | $63.34 | $63.34 | |
Cigna
| Professional | $71.93 | $98.10 | $201.59 | |
Community Health Options
| Facility | $337.83 | $337.83 | $337.83 | |
Harvard Pilgrim
| Professional | $115.16 | $128.19 | $211.85 | |
Martin's Point
| Facility | $95.92 | $122.00 | $170.41 | |
Martin's Point
| Professional | $58.92 | $95.92 | $216.77 | |
United
| Professional | $77.79 | $101.48 | $140.94 |