| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $134.90 | |
Aetna
| Professional | $107.15 | $162.18 | $323.59 | |
Anthem BCBS
| Professional | $107.15 | $173.78 | $309.03 | |
Cigna
| Facility | $107.15 | $107.15 | $190.55 | |
Cigna
| Professional | $120.23 | $173.78 | $316.23 | |
Harvard Pilgrim
| Professional | $128.82 | $229.09 | $416.87 | |
Martin's Point
| Professional | $112.20 | $186.21 | $331.13 | |
United
| Professional | $125.89 | $199.53 | $323.59 |