| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $1,380.38 | $3,981.07 | |
Aetna
| Professional | $72.44 | $239.88 | $676.08 | |
Anthem BCBS
| Professional | $77.62 | $162.18 | $575.44 | |
Cigna
| Professional | $107.15 | $478.63 | $758.58 | |
Harvard Pilgrim
| Professional | $85.11 | $446.68 | $724.44 | |
Martin's Point
| Facility | $151.36 | $1,380.38 | $3,630.78 | |
Martin's Point
| Professional | $75.86 | $288.40 | $1,023.29 | |
United
| Professional | $100.00 | $398.11 | $912.01 |