| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $575.44 | |
Aetna
| Professional | $28.84 | $128.82 | $245.47 | |
Anthem BCBS
| Professional | $31.62 | $100.00 | $239.88 | |
Cigna
| Professional | $38.90 | $83.18 | $309.03 | |
Harvard Pilgrim
| Professional | $31.62 | $144.54 | $338.84 | |
Martin's Point
| Facility | $371.54 | $371.54 | $575.44 | |
Martin's Point
| Professional | $30.90 | $125.89 | $380.19 | |
United
| Professional | $32.36 | $123.03 | $288.40 |