| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.38 | $72.38 | $72.38 | |
Aetna
| Professional | $36.26 | $74.76 | $128.78 | |
Aetna
| Professional | 25 | $69.58 | $79.65 | $164.60 |
Anthem BCBS
| Professional | $79.56 | $97.53 | $142.41 | |
Cigna
| Facility | $100.27 | $100.27 | $100.27 | |
Cigna
| Professional | $76.91 | $118.95 | $172.41 | |
Harvard Pilgrim
| Professional | $91.09 | $108.32 | $166.66 | |
Martin's Point
| Professional | $69.09 | $82.68 | $139.60 | |
United
| Professional | $82.30 | $119.34 | $179.50 |