| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $524.81 | $524.81 | |
Aetna
| Professional | $10.47 | $26.92 | $85.11 | |
Anthem BCBS
| Professional | $17.78 | $38.02 | $67.61 | |
Cigna
| Professional | $19.05 | $47.86 | $100.00 | |
Harvard Pilgrim
| Professional | $26.92 | $47.86 | $91.20 | |
Martin's Point
| Facility | $239.88 | $239.88 | $524.81 | |
Martin's Point
| Professional | $11.48 | $33.88 | $128.82 | |
United
| Professional | $15.49 | $33.88 | $66.07 |