| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $0.89 | $0.89 | |
Aetna
| Professional | $72.44 | $107.15 | $213.80 | |
Anthem BCBS
| Professional | $100.00 | $138.04 | $194.98 | |
Cigna
| Professional | $93.33 | $151.36 | $269.15 | |
Harvard Pilgrim
| Professional | $104.71 | $158.49 | $251.19 | |
Martin's Point
| Facility | $0.89 | $0.89 | $0.89 | |
Martin's Point
| Professional | $63.10 | $123.03 | $251.19 | |
United
| Professional | $102.33 | $158.49 | $239.88 |