| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $1,485.68 | $2,896.02 | |
Aetna
| Professional | $177.83 | $280.39 | $550.40 | |
Anthem BCBS
| Professional | $240.49 | $369.47 | $520.19 | |
Cigna
| Professional | $237.21 | $414.50 | $695.65 | |
Harvard Pilgrim
| Professional | $272.05 | $423.31 | $710.63 | |
Martin's Point
| Facility | $0.40 | $1,485.68 | $4,956.35 | |
Martin's Point
| Professional | $177.83 | $281.18 | $537.51 | |
United
| Professional | $335.83 | $476.76 | $688.91 |