| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.83 | $88.06 | $104.59 | |
Anthem BCBS
| Facility | $253.13 | $349.65 | $573.85 | |
Anthem BCBS
| Professional | $93.43 | $128.54 | $185.67 | |
Cigna
| Professional | $75.39 | $130.47 | $221.67 | |
Harvard Pilgrim
| Professional | $117.89 | $141.24 | $271.91 | |
Martin's Point
| Professional | $63.25 | $103.12 | $157.91 | |
United
| Professional | $86.11 | $112.16 | $217.75 |