| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $331.13 | |
Aetna
| Professional | $120.23 | $251.19 | $416.87 | |
Anthem BCBS
| Professional | $104.71 | $186.21 | $275.42 | |
Cigna
| Professional | $158.49 | $316.23 | $562.34 | |
Harvard Pilgrim
| Professional | $128.82 | $316.23 | $691.83 | |
Martin's Point
| Professional | $120.23 | $295.12 | $758.58 | |
United
| Professional | $128.82 | $288.40 | $575.44 |