| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.86 | $110.93 | $249.99 | |
Aetna
| Professional | $55.87 | $77.59 | $77.61 | |
Anthem BCBS
| Facility | $113.72 | $147.33 | $273.11 | |
Anthem BCBS
| Professional | $58.04 | $61.20 | $61.20 | |
Cigna
| Facility | $29.19 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $65.48 | $71.77 | |
Harvard Pilgrim
| Professional | $103.51 | $103.51 | $103.51 | |
Martin's Point
| Facility | $72.86 | $110.93 | $249.99 | |
Martin's Point
| Professional | $57.60 | $77.59 | $112.19 | |
United
| Professional | $42.52 | $63.79 | $146.69 |