| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.97 | $373.34 | $373.34 | |
Aetna
| Professional | $28.03 | $65.29 | $195.18 | |
Anthem BCBS
| Professional | $36.54 | $86.21 | $213.31 | |
Cigna
| Professional | $38.59 | $78.55 | $306.49 | |
Harvard Pilgrim
| Professional | $36.69 | $111.65 | $292.64 | |
Martin's Point
| Facility | $373.34 | $373.34 | $581.70 | |
Martin's Point
| Professional | $32.06 | $73.12 | $240.91 | |
United
| Professional | $156.63 | $223.07 | $336.25 |