| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.42 | $66.42 | $93.61 | |
Aetna
| Professional | $66.42 | $93.61 | $160.21 | |
Anthem BCBS
| Professional | $87.30 | $123.43 | $209.50 | |
Cigna
| Facility | $104.52 | $104.52 | $104.52 | |
Cigna
| Professional | $81.75 | $127.96 | $221.78 | |
Harvard Pilgrim
| Professional | $96.04 | $141.80 | $220.64 | |
Martin's Point
| Professional | $66.42 | $99.37 | $172.59 | |
United
| Professional | $111.84 | $165.45 | $244.44 |