| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $457.09 | |
Aetna
| Professional | $154.88 | $213.80 | $281.84 | |
Anthem BCBS
| Professional | $112.20 | $169.82 | $229.09 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Harvard Pilgrim
| Professional | $281.84 | $281.84 | $338.84 | |
Martin's Point
| Facility | $281.84 | $281.84 | $281.84 | |
Martin's Point
| Professional | $154.88 | $218.78 | $281.84 | |
United
| Professional | $169.82 | $281.84 | $407.38 |