| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.40 | $304.39 | $357.00 | |
Aetna
| Professional | $17.78 | $24.55 | $26.12 | |
Anthem BCBS
| Professional | $15.53 | $24.02 | $31.15 | |
Cigna
| Professional | $14.28 | $14.28 | $14.28 | |
Harvard Pilgrim
| Professional | $14.74 | $19.79 | $34.22 | |
Martin's Point
| Facility | $31.70 | $124.40 | $357.00 | |
Martin's Point
| Professional | $12.69 | $19.73 | $26.12 | |
United
| Professional | $16.98 | $24.48 | $32.93 |