| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.70 | $587.70 | $587.70 | |
Aetna
| Professional | $111.02 | $255.55 | $1,047.84 | |
Anthem BCBS
| Professional | $147.56 | $365.49 | $942.85 | |
Cigna
| Professional | $175.48 | $368.83 | $1,235.81 | |
Harvard Pilgrim
| Professional | $164.47 | $500.48 | $1,288.02 | |
Martin's Point
| Facility | $587.70 | $587.70 | $587.70 | |
Martin's Point
| Professional | $111.02 | $246.09 | $1,117.24 | |
United
| Professional | $582.30 | $1,045.46 | $1,295.28 |