| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $154.88 | $1,122.02 | |
Aetna
| Professional | $85.11 | $112.20 | $416.87 | |
Anthem BCBS
| Facility | $181.97 | $794.33 | $851.14 | |
Anthem BCBS
| Professional | $31.62 | $93.33 | $123.03 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Professional | $83.18 | $83.18 | $204.17 | |
Harvard Pilgrim
| Professional | $93.33 | $162.18 | $204.17 | |
Martin's Point
| Facility | $151.36 | $154.88 | $1,122.02 | |
Martin's Point
| Professional | $87.10 | $117.49 | $416.87 | |
United
| Professional | $74.13 | $123.03 | $239.88 |