| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.84 | $3,465.91 | $3,903.06 | |
Aetna
| Professional | $115.84 | $156.11 | $305.56 | |
Anthem BCBS
| Professional | $154.63 | $200.35 | $295.14 | |
Cigna
| Professional | $153.31 | $237.99 | $378.82 | |
Harvard Pilgrim
| Professional | $184.25 | $241.88 | $403.21 | |
Martin's Point
| Facility | $0.90 | $2,351.55 | $4,001.86 | |
Martin's Point
| Professional | $115.84 | $171.99 | $305.56 | |
United
| Professional | $187.71 | $265.94 | $394.09 |