| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.84 | $202.89 | $202.89 | |
Aetna
| Professional | $33.27 | $49.10 | $114.30 | |
Anthem BCBS
| Professional | $59.84 | $77.69 | $110.74 | |
Cigna
| Professional | $57.03 | $93.29 | $145.53 | |
Harvard Pilgrim
| Professional | $66.78 | $90.76 | $151.29 | |
Martin's Point
| Facility | $105.84 | $105.84 | $202.89 | |
Martin's Point
| Professional | $36.59 | $58.65 | $114.30 | |
United
| Professional | $71.26 | $101.41 | $145.06 |