| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $776.25 | |
Aetna
| Professional | $112.20 | $165.96 | $467.74 | |
Anthem BCBS
| Professional | $109.65 | $229.09 | $316.23 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Harvard Pilgrim
| Professional | $478.63 | $478.63 | $575.44 | |
Martin's Point
| Facility | $478.63 | $478.63 | $478.63 | |
Martin's Point
| Professional | $112.20 | $165.96 | $467.74 | |
United
| Professional | $123.03 | $288.40 | $478.63 |