| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.01 | $78.45 | $119.41 | |
Anthem BCBS
| Facility | $140.13 | $193.56 | $317.67 | |
Anthem BCBS
| Professional | $79.77 | $103.23 | $141.79 | |
Cigna
| Professional | $91.63 | $110.67 | $168.51 | |
Harvard Pilgrim
| Professional | $90.68 | $108.64 | $160.94 | |
Martin's Point
| Professional | $72.01 | $83.50 | $122.85 | |
United
| Professional | $75.76 | $112.87 | $160.94 |