| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,423.62 | $1,423.62 | $1,423.62 | |
Aetna
| Professional | $47.53 | $73.29 | $119.07 | |
Anthem BCBS
| Professional | $63.12 | $98.46 | $137.16 | |
Anthem BCBS
| Professional | 50 | $94.68 | $147.69 | $205.74 |
Cigna
| Professional | $66.37 | $109.17 | $179.22 | |
Harvard Pilgrim
| Professional | $64.30 | $111.29 | $178.66 | |
Martin's Point
| Facility | $1,423.62 | $1,423.62 | $1,423.62 | |
Martin's Point
| Professional | $56.04 | $83.61 | $142.53 | |
United
| Professional | $78.92 | $110.72 | $182.27 |