| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.00 | $464.00 | $464.00 | |
Aetna
| Professional | $78.45 | $143.82 | $275.63 | |
Anthem BCBS
| Professional | $98.28 | $161.72 | $254.00 | |
Cigna
| Professional | $108.69 | $192.45 | $322.76 | |
Harvard Pilgrim
| Professional | $122.84 | $206.10 | $346.99 | |
Martin's Point
| Facility | $464.00 | $464.00 | $464.00 | |
Martin's Point
| Professional | $78.45 | $143.82 | $286.43 | |
United
| Professional | $127.93 | $205.52 | $346.99 |