| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.59 | $96.12 | $142.07 | |
Anthem BCBS
| Facility | $210.23 | $290.39 | $476.59 | |
Anthem BCBS
| Professional | $92.82 | $120.13 | $166.58 | |
Cigna
| Professional | $105.95 | $134.62 | $196.27 | |
Harvard Pilgrim
| Professional | $106.76 | $123.52 | $189.49 | |
Martin's Point
| Professional | $87.59 | $103.98 | $163.91 | |
United
| Professional | $87.70 | $129.47 | $178.52 |