| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $70.79 | $100.00 | |
Anthem BCBS
| Facility | $218.78 | $275.42 | $275.42 | |
Anthem BCBS
| Professional | $74.13 | $97.72 | $123.03 | |
Cigna
| Professional | $87.10 | $120.23 | $173.78 | |
Harvard Pilgrim
| Professional | $87.10 | $102.33 | $199.53 | |
Martin's Point
| Professional | $66.07 | $74.13 | $85.11 | |
United
| Professional | $87.10 | $154.88 | $213.80 |