| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,501.61 | $2,501.61 | $5,127.14 | |
Aetna
| Professional | $142.24 | $190.75 | $389.29 | |
Anthem BCBS
| Professional | $191.80 | $248.67 | $365.76 | |
Cigna
| Professional | $185.53 | $292.39 | $466.31 | |
Harvard Pilgrim
| Professional | $227.95 | $299.75 | $499.66 | |
Martin's Point
| Facility | $5,127.14 | $5,127.14 | $5,127.14 | |
Martin's Point
| Professional | $142.24 | $207.29 | $400.93 | |
United
| Professional | $225.10 | $320.04 | $482.46 |