| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.25 | $889.25 | $889.35 | |
Aetna
| Professional | $79.93 | $120.22 | $179.09 | |
Anthem BCBS
| Professional | $92.40 | $108.71 | $153.35 | |
Cigna
| Professional | $100.41 | $174.00 | $270.89 | |
Harvard Pilgrim
| Professional | $96.45 | $162.82 | $262.83 | |
Martin's Point
| Facility | $889.25 | $889.35 | $1,621.09 | |
Martin's Point
| Professional | $85.66 | $143.94 | $219.45 | |
United
| Professional | $123.10 | $204.07 | $273.64 |