| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.18 | $62.19 | $89.37 | |
Aetna
| Professional | $60.93 | $89.38 | $169.69 | |
Anthem BCBS
| Professional | $81.66 | $117.78 | $199.75 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $75.00 | $121.54 | $211.84 | |
Harvard Pilgrim
| Professional | $89.45 | $135.19 | $210.37 | |
Martin's Point
| Professional | $62.18 | $89.45 | $164.67 | |
United
| Professional | $106.68 | $154.97 | $221.32 |