| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,235.94 | $6,456.54 | |
Aetna
| Professional | $67.61 | $117.49 | $309.03 | |
Anthem BCBS
| Professional | $89.13 | $128.82 | $204.17 | |
Cigna
| Professional | $95.50 | $158.49 | $288.40 | |
Harvard Pilgrim
| Professional | $93.33 | $154.88 | $239.88 | |
Martin's Point
| Facility | $588.84 | $2,951.21 | $6,456.54 | |
Martin's Point
| Professional | $66.07 | $123.03 | $295.12 | |
United
| Professional | $93.33 | $147.91 | $239.88 |