| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.19 | $100.19 | $100.19 | |
Aetna
| Professional | $181.73 | $206.08 | $252.46 | |
Anthem BCBS
| Facility | $369.92 | $479.26 | $888.41 | |
Anthem BCBS
| Professional | $189.42 | $199.06 | $199.06 | |
Cigna
| Facility | $194.92 | $194.92 | $305.69 | |
Cigna
| Professional | $142.29 | $142.29 | $194.92 | |
Harvard Pilgrim
| Professional | $336.75 | $336.75 | $336.75 | |
Martin's Point
| Facility | $100.19 | $100.19 | $100.19 | |
Martin's Point
| Professional | $100.46 | $234.19 | $252.46 | |
United
| Professional | $138.33 | $207.50 | $477.18 |