| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.20 | $262.14 | $398.93 | |
Aetna
| Professional | $35.63 | $72.20 | $147.49 | |
Anthem BCBS
| Professional | $47.21 | $84.06 | $143.26 | |
Cigna
| Professional | $49.39 | $95.57 | $180.38 | |
Harvard Pilgrim
| Professional | $55.23 | $98.80 | $195.70 | |
Martin's Point
| Facility | $72.20 | $256.25 | $373.60 | |
Martin's Point
| Professional | $35.63 | $72.20 | $130.30 | |
United
| Professional | $73.19 | $122.10 | $190.62 |