| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.06 | $3,111.08 | $5,014.41 | |
Aetna
| Professional | $134.40 | $394.77 | $699.49 | |
Anthem BCBS
| Professional | $180.27 | $307.54 | $798.07 | |
Cigna
| Professional | $215.77 | $698.61 | $1,143.22 | |
Harvard Pilgrim
| Professional | $198.68 | $458.26 | $933.85 | |
Martin's Point
| Facility | $567.37 | $3,153.80 | $5,325.22 | |
Martin's Point
| Professional | $134.40 | $394.77 | $791.96 | |
United
| Professional | $577.28 | $947.30 | $1,143.29 |