| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,729.38 | $1,729.38 | $2,632.46 | |
Aetna
| Professional | $141.88 | $188.14 | $373.24 | |
Anthem BCBS
| Professional | $189.94 | $238.63 | $349.50 | |
Cigna
| Professional | $180.40 | $290.05 | $449.11 | |
Harvard Pilgrim
| Professional | $224.65 | $286.43 | $477.45 | |
Martin's Point
| Facility | $1,729.38 | $1,729.38 | $2,632.46 | |
Martin's Point
| Professional | $141.88 | $203.25 | $385.36 | |
United
| Professional | $223.40 | $307.14 | $463.16 |