| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.87 | $73.87 | $192.56 | |
Aetna
| Professional | $53.18 | $73.87 | $73.87 | |
Anthem BCBS
| Facility | $66.25 | $85.83 | $159.11 | |
Anthem BCBS
| Professional | $63.26 | $66.29 | $66.29 | |
Cigna
| Facility | $67.20 | $67.20 | $67.20 | |
Cigna
| Professional | $49.06 | $49.06 | $67.20 | |
Harvard Pilgrim
| Professional | $98.53 | $98.53 | $98.53 | |
Martin's Point
| Facility | $192.56 | $192.56 | $192.56 | |
Martin's Point
| Professional | $62.39 | $73.87 | $73.87 | |
United
| Professional | $40.47 | $63.90 | $168.53 |