| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.98 | $771.98 | $1,640.46 | |
Aetna
| Professional | $625.29 | $625.29 | $625.29 | |
Anthem BCBS
| Professional | $308.79 | $501.78 | $501.78 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
Harvard Pilgrim
| Professional | $771.98 | $771.98 | $934.87 | |
Martin's Point
| Facility | $771.98 | $771.98 | $1,250.60 | |
Martin's Point
| Professional | $625.29 | $625.29 | $771.98 | |
United
| Professional | $463.19 | $463.19 | $1,119.36 |