| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.82 | $192.00 | $192.00 | |
Anthem BCBS
| Professional | $34.79 | $35.09 | $35.09 | |
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
Harvard Pilgrim
| Professional | $27.57 | $36.27 | $48.28 | |
Martin's Point
| Professional | $27.82 | $192.00 | $192.00 | |
United
| Professional | $23.94 | $36.27 | $56.44 |