| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.86 | $100.86 | $100.86 | |
Aetna
| Professional | $95.34 | $100.86 | $117.28 | |
Anthem BCBS
| Professional | $100.92 | $123.01 | $199.02 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Harvard Pilgrim
| Professional | $115.53 | $148.80 | $279.19 | |
Martin's Point
| Professional | $88.93 | $100.86 | $113.97 | |
United
| Professional | $104.24 | $148.96 | $228.27 |