| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $150.00 | $318.75 | |
Aetna
| Professional | $121.50 | $121.50 | $121.50 | |
Anthem BCBS
| Professional | $60.00 | $97.50 | $97.50 | |
Cigna
| Facility | $319.95 | $319.95 | $319.95 | |
Harvard Pilgrim
| Professional | $150.00 | $150.00 | $151.50 | |
Martin's Point
| Facility | $150.00 | $150.00 | $243.00 | |
Martin's Point
| Professional | $121.50 | $121.50 | $150.00 | |
United
| Professional | $76.50 | $90.00 | $262.50 |