| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.07 | $83.07 | $110.27 | |
Aetna
| Professional | $78.84 | $110.26 | $214.37 | |
Anthem BCBS
| Professional | $108.37 | $144.88 | $244.21 | |
Cigna
| Facility | $130.94 | $130.94 | $130.94 | |
Cigna
| Professional | $99.10 | $158.88 | $258.11 | |
Harvard Pilgrim
| Professional | $120.36 | $165.29 | $257.19 | |
Martin's Point
| Professional | $83.06 | $114.68 | $207.53 | |
United
| Professional | $132.16 | $189.63 | $268.97 |