| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.25 | $1,486.25 | $1,486.25 | |
Aetna
| Professional | $47.35 | $109.16 | $193.36 | |
Anthem BCBS
| Professional | $58.14 | $109.65 | $188.86 | |
Cigna
| Professional | $61.11 | $112.58 | $263.75 | |
Harvard Pilgrim
| Professional | $58.53 | $139.74 | $248.02 | |
Martin's Point
| Facility | $1,486.25 | $1,486.25 | $1,486.25 | |
Martin's Point
| Professional | $50.14 | $116.97 | $210.49 | |
United
| Professional | $141.47 | $210.84 | $301.93 |