| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $323.59 | |
Aetna
| Professional | $128.82 | $128.82 | $194.98 | |
Anthem BCBS
| Professional | $13.18 | $95.50 | $128.82 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
Harvard Pilgrim
| Professional | $199.53 | $199.53 | $239.88 | |
Martin's Point
| Facility | $199.53 | $199.53 | $199.53 | |
Martin's Point
| Professional | $128.82 | $128.82 | $194.98 | |
United
| Professional | $120.23 | $199.53 | $302.00 |