| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $323.59 | $6,456.54 | |
Aetna
| Professional | $83.18 | $177.83 | $309.03 | |
Anthem BCBS
| Professional | $100.00 | $151.36 | $208.93 | |
Cigna
| Professional | $134.90 | $165.96 | $288.40 | |
Harvard Pilgrim
| Professional | $125.89 | $158.49 | $263.03 | |
Martin's Point
| Facility | $131.83 | $316.23 | $4,897.79 | |
Martin's Point
| Professional | $81.28 | $151.36 | $302.00 | |
United
| Professional | $102.33 | $158.49 | $251.19 |