| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.65 | $840.65 | $1,786.38 | |
Aetna
| Professional | $680.93 | $680.93 | $680.93 | |
Anthem BCBS
| Professional | $336.26 | $336.26 | $546.41 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Harvard Pilgrim
| Professional | $840.65 | $840.65 | $1,018.03 | |
Martin's Point
| Facility | $840.65 | $840.65 | $1,361.85 | |
Martin's Point
| Professional | $680.93 | $680.93 | $840.65 | |
United
| Professional | $504.39 | $504.39 | $1,471.14 |