| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.53 | $145.94 | $350.00 | |
Aetna
| Professional | $130.84 | $150.46 | $198.48 | |
Anthem BCBS
| Professional | $150.33 | $194.54 | $292.92 | |
Cigna
| Professional | $115.18 | $279.51 | $410.27 | |
Harvard Pilgrim
| Professional | $223.41 | $225.64 | $292.20 | |
Martin's Point
| Professional | $130.84 | $150.61 | $243.66 | |
United
| Professional | $168.64 | $233.35 | $301.74 |