| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,584.89 | $2,398.83 | |
Aetna
| Professional | $95.50 | $245.47 | $575.44 | |
Anthem BCBS
| Professional | $89.13 | $151.36 | $239.88 | |
Cigna
| Professional | $123.03 | $234.42 | $489.78 | |
Harvard Pilgrim
| Professional | $112.20 | $316.23 | $537.03 | |
Martin's Point
| Facility | $562.34 | $1,548.82 | $2,398.83 | |
Martin's Point
| Professional | $97.72 | $239.88 | $501.19 | |
United
| Professional | $100.00 | $218.78 | $501.19 |