| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.83 | $467.26 | $1,193.70 | |
Aetna
| Professional | $172.82 | $172.82 | $864.04 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Harvard Pilgrim
| Professional | $342.39 | $342.39 | $342.39 | |
Martin's Point
| Facility | $453.83 | $467.31 | $4,446.14 | |
Martin's Point
| Professional | $172.82 | $172.82 | $864.04 |