| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.74 | $96.74 | $123.65 | |
Aetna
| Professional | $95.05 | $124.12 | $239.26 | |
Anthem BCBS
| Professional | $126.44 | $162.56 | $273.44 | |
Cigna
| Facility | $93.00 | $152.08 | $152.08 | |
Cigna
| Professional | $116.21 | $182.97 | $288.83 | |
Community Health Options
| Professional | $174.29 | $242.55 | $304.33 | |
Harvard Pilgrim
| Professional | $139.74 | $185.08 | $287.98 | |
Martin's Point
| Professional | $96.73 | $128.59 | $234.13 | |
United
| Professional | $146.46 | $212.37 | $340.63 |