| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.50 | $137.91 | $430.97 | |
Aetna
| Professional | $29.50 | $40.54 | $60.60 | |
Anthem BCBS
| Professional | $23.52 | $43.53 | $78.73 | |
Cigna
| Professional | $28.96 | $53.74 | $102.91 | |
Harvard Pilgrim
| Professional | $32.56 | $57.79 | $107.57 | |
Martin's Point
| Facility | $137.91 | $179.90 | $430.97 | |
Martin's Point
| Professional | $29.50 | $44.04 | $82.91 | |
United
| Professional | $42.26 | $52.51 | $99.41 |