| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $323.59 | |
Aetna
| Professional | $114.82 | $154.88 | $190.55 | |
Anthem BCBS
| Facility | $229.09 | $1,071.52 | $1,148.15 | |
Anthem BCBS
| Professional | $31.62 | $120.23 | $165.96 | |
Cigna
| Facility | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $60.26 | $60.26 | $257.04 | |
Harvard Pilgrim
| Professional | $120.23 | $204.17 | $257.04 | |
Martin's Point
| Facility | $199.53 | $199.53 | $199.53 | |
Martin's Point
| Professional | $114.82 | $158.49 | $199.53 | |
United
| Professional | $100.00 | $165.96 | $309.03 |