| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.57 | $664.91 | $3,571.36 | |
Aetna
| Professional | $87.58 | $127.86 | $251.89 | |
Anthem BCBS
| Professional | $117.09 | $166.89 | $242.82 | |
Cigna
| Professional | $121.99 | $197.84 | $317.23 | |
Harvard Pilgrim
| Professional | $136.44 | $199.00 | $331.72 | |
Martin's Point
| Facility | $0.86 | $222.15 | $3,966.32 | |
Martin's Point
| Professional | $87.57 | $129.71 | $251.89 | |
United
| Professional | $152.26 | $214.53 | $325.93 |