| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.34 | $5,218.14 | $5,218.14 | |
Aetna
| Professional | $119.34 | $184.47 | $377.21 | |
Anthem BCBS
| Professional | $160.57 | $243.46 | $350.01 | |
Cigna
| Professional | $165.97 | $285.27 | $457.68 | |
Harvard Pilgrim
| Professional | $186.31 | $286.85 | $478.16 | |
Martin's Point
| Facility | $312.70 | $312.70 | $5,218.14 | |
Martin's Point
| Professional | $119.34 | $191.43 | $392.33 | |
United
| Professional | $219.53 | $314.52 | $466.87 |