| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.92 | $131.49 | $199.09 | |
Aetna
| Professional | $84.92 | $131.49 | $274.95 | |
Anthem BCBS
| Professional | $116.71 | $173.58 | $254.51 | |
Cigna
| Professional | $115.81 | $203.98 | $326.22 | |
Harvard Pilgrim
| Professional | $131.49 | $206.51 | $347.68 | |
Martin's Point
| Facility | $199.09 | $199.09 | $199.09 | |
Martin's Point
| Professional | $84.92 | $139.49 | $286.41 | |
United
| Professional | $156.55 | $223.11 | $339.86 |