| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $97.72 | |
Aetna
| Professional | $70.79 | $117.49 | $269.15 | |
Anthem BCBS
| Professional | $72.44 | $123.03 | $223.87 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $79.43 | $125.89 | $229.09 | |
Harvard Pilgrim
| Professional | $89.13 | $158.49 | $302.00 | |
Martin's Point
| Professional | $75.86 | $125.89 | $251.19 | |
United
| Professional | $85.11 | $134.90 | $234.42 |