| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.41 | $891.41 | $891.41 | |
Aetna
| Professional | $45.61 | $59.56 | $74.18 | |
Anthem BCBS
| Professional | $61.70 | $96.88 | $143.26 | |
Cigna
| Professional | $62.20 | $109.90 | $184.03 | |
Harvard Pilgrim
| Professional | $68.84 | $116.24 | $195.70 | |
Martin's Point
| Facility | $891.41 | $891.41 | $891.41 | |
Martin's Point
| Professional | $45.61 | $59.56 | $106.61 | |
United
| Professional | $84.39 | $118.66 | $208.08 |