| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.73 | $640.73 | $1,601.82 | |
Aetna
| Professional | $518.99 | $518.99 | $640.73 | |
Anthem BCBS
| Professional | $208.00 | $208.00 | $416.47 | |
Cigna
| Professional | $648.47 | $736.38 | $920.47 | |
Harvard Pilgrim
| Professional | $640.73 | $640.73 | $775.92 | |
Martin's Point
| Facility | $640.73 | $640.73 | $1,601.82 | |
Martin's Point
| Professional | $518.99 | $518.99 | $640.73 | |
United
| Professional | $384.44 | $384.44 | $929.06 |