| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.43 | $491.26 | $620.16 | |
Aetna
| Professional | $76.18 | $135.60 | $283.56 | |
Anthem BCBS
| Professional | $100.73 | $170.84 | $269.75 | |
Cigna
| Professional | $121.82 | $201.17 | $337.30 | |
Harvard Pilgrim
| Professional | $116.24 | $206.31 | $368.51 | |
Martin's Point
| Facility | $184.43 | $369.67 | $620.16 | |
Martin's Point
| Professional | $76.18 | $135.59 | $278.31 | |
United
| Professional | $138.76 | $229.85 | $355.69 |