| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $446.68 | |
Aetna
| Professional | $144.54 | $190.55 | $263.03 | |
Anthem BCBS
| Professional | $109.65 | $165.96 | $229.09 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Harvard Pilgrim
| Professional | $275.42 | $275.42 | $331.13 | |
Martin's Point
| Facility | $275.42 | $275.42 | $275.42 | |
Martin's Point
| Professional | $14.13 | $181.97 | $263.03 | |
United
| Professional | $165.96 | $275.42 | $398.11 |