| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $1,698.24 | $2,398.83 | |
Aetna
| Professional | $107.15 | $251.19 | $457.09 | |
Anthem BCBS
| Professional | $95.50 | $162.18 | $251.19 | |
Cigna
| Professional | $131.83 | $251.19 | $501.19 | |
Harvard Pilgrim
| Professional | $120.23 | $338.84 | $549.54 | |
Martin's Point
| Facility | $123.03 | $1,148.15 | $2,238.72 | |
Martin's Point
| Professional | $114.82 | $251.19 | $489.78 | |
United
| Professional | $109.65 | $223.87 | $501.19 |