| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $489.78 | |
Aetna
| Professional | $162.18 | $229.09 | $302.00 | |
Anthem BCBS
| Professional | $120.23 | $144.54 | $194.98 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Harvard Pilgrim
| Professional | $302.00 | $363.08 | $660.69 | |
Martin's Point
| Facility | $302.00 | $302.00 | $302.00 | |
Martin's Point
| Professional | $162.18 | $234.42 | $302.00 | |
United
| Professional | $181.97 | $302.00 | $537.03 |