| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.19 | $146.19 | $146.19 | |
Aetna
| Professional | $51.11 | $66.53 | $71.01 | |
Anthem BCBS
| Facility | $104.05 | $134.81 | $249.89 | |
Anthem BCBS
| Professional | $61.34 | $64.27 | $64.27 | |
Cigna
| Facility | $68.22 | $68.22 | $85.98 | |
Cigna
| Professional | $49.80 | $53.18 | $68.22 | |
Harvard Pilgrim
| Professional | $94.73 | $94.73 | $94.73 | |
Martin's Point
| Facility | $146.19 | $146.19 | $146.19 | |
Martin's Point
| Professional | $51.10 | $65.87 | $71.01 | |
United
| Professional | $38.90 | $58.37 | $134.21 |