| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.96 | $793.87 | $793.87 | |
Aetna
| Professional | $175.96 | $300.80 | $365.95 | |
Anthem BCBS
| Professional | $236.77 | $384.58 | $579.12 | |
Cigna
| Professional | $282.94 | $467.23 | $746.28 | |
Harvard Pilgrim
| Professional | $273.29 | $469.91 | $791.14 | |
Martin's Point
| Facility | $612.14 | $706.86 | $793.87 | |
Martin's Point
| Professional | $175.96 | $300.80 | $440.47 | |
United
| Professional | $358.58 | $493.90 | $843.76 |