| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.59 | $4,236.37 | $4,792.60 | |
Aetna
| Professional | $76.61 | $126.03 | $257.86 | |
Anthem BCBS
| Professional | $101.85 | $162.41 | $241.81 | |
Anthem BCBS
| Professional | 50 | $152.77 | $243.63 | $362.71 |
Cigna
| Professional | $103.79 | $181.74 | $312.69 | |
Harvard Pilgrim
| Professional | $115.42 | $196.21 | $330.34 | |
Martin's Point
| Facility | $0.94 | $3,405.78 | $4,792.60 | |
Martin's Point
| Professional | $76.61 | $126.39 | $252.33 | |
United
| Professional | $151.37 | $206.81 | $353.52 |