| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $251.19 | |
Aetna
| Professional | $85.11 | $120.23 | $158.49 | |
Anthem BCBS
| Professional | $5.89 | $75.86 | $102.33 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Harvard Pilgrim
| Professional | $158.49 | $158.49 | $186.21 | |
Martin's Point
| Facility | $158.49 | $158.49 | $158.49 | |
Martin's Point
| Professional | $85.11 | $123.03 | $223.87 | |
United
| Professional | $93.33 | $158.49 | $229.09 |