| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $218.78 | |
Aetna
| Professional | $72.44 | $100.00 | $128.82 | |
Anthem BCBS
| Professional | $53.70 | $87.10 | $691.83 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Harvard Pilgrim
| Professional | $134.90 | $134.90 | $162.18 | |
Martin's Point
| Facility | $134.90 | $134.90 | $134.90 | |
Martin's Point
| Professional | $72.44 | $104.71 | $128.82 | |
United
| Professional | $81.28 | $134.90 | $194.98 |