| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $123.03 | |
Aetna
| Professional | $16.98 | $26.92 | $83.18 | |
Anthem BCBS
| Professional | $15.85 | $21.88 | $38.90 | |
Cigna
| Professional | $21.38 | $28.18 | $56.23 | |
Harvard Pilgrim
| Professional | $19.95 | $28.18 | $56.23 | |
Martin's Point
| Facility | $123.03 | $123.03 | $123.03 | |
Martin's Point
| Professional | $19.05 | $28.84 | $77.62 | |
United
| Professional | $19.50 | $31.62 | $89.13 |