| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.96 | $103.96 | $134.34 | |
Aetna
| Professional | $98.34 | $134.34 | $260.35 | |
Anthem BCBS
| Professional | $135.84 | $176.11 | $297.19 | |
Cigna
| Facility | $100.00 | $163.28 | $163.28 | |
Cigna
| Professional | $124.85 | $198.39 | $314.02 | |
Harvard Pilgrim
| Professional | $150.04 | $201.15 | $312.99 | |
Martin's Point
| Professional | $103.95 | $159.59 | $262.13 | |
United
| Professional | $159.86 | $230.12 | $363.08 |