| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $307.81 | $307.81 | $307.81 |
Aetna
| Professional | $133.50 | $160.11 | $313.88 | |
Anthem BCBS
| Professional | $204.01 | $264.02 | $365.61 | |
Cigna
| Professional | $178.88 | $286.20 | $431.77 | |
Harvard Pilgrim
| Professional | $233.72 | $270.41 | $414.83 | |
Martin's Point
| Facility | 26 | $307.81 | $307.81 | $307.81 |
Martin's Point
| Professional | $133.50 | $225.96 | $359.22 | |
United
| Professional | $189.30 | $285.04 | $392.25 |