| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.89 | $1,153.44 | $2,263.71 | |
Aetna
| Professional | $99.97 | $202.11 | $340.81 | |
Anthem BCBS
| Professional | $117.20 | $137.88 | $210.37 | |
Cigna
| Professional | $133.22 | $234.49 | $502.63 | |
Harvard Pilgrim
| Professional | $132.32 | $319.87 | $513.52 | |
Martin's Point
| Facility | $126.89 | $1,686.47 | $2,263.71 | |
Martin's Point
| Professional | $114.91 | $228.44 | $407.97 | |
United
| Professional | $205.89 | $332.48 | $441.38 |