| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,291.02 | $1,460.54 | $3,621.60 | |
Aetna
| Professional | $67.48 | $197.52 | $522.76 | |
Anthem BCBS
| Professional | $90.69 | $153.76 | $625.34 | |
Cigna
| Professional | $108.50 | $548.69 | $897.89 | |
Harvard Pilgrim
| Professional | $99.34 | $229.13 | $710.66 | |
Martin's Point
| Facility | $150.66 | $1,394.13 | $3,621.60 | |
Martin's Point
| Professional | $67.48 | $197.52 | $667.41 | |
United
| Professional | $542.03 | $778.65 | $941.61 |