| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $162.18 | $162.18 | |
Aetna
| Professional | $38.02 | $58.88 | $117.49 | |
Anthem BCBS
| Professional | $35.48 | $60.26 | $107.15 | |
Cigna
| Professional | $53.70 | $85.11 | $128.82 | |
Harvard Pilgrim
| Professional | $43.65 | $74.13 | $141.25 | |
Martin's Point
| Facility | $162.18 | $162.18 | $162.18 | |
Martin's Point
| Professional | $41.69 | $70.79 | $190.55 | |
United
| Professional | $44.67 | $75.86 | $125.89 |