| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $65.67 | $72.23 | |
Anthem BCBS
| Facility | $65.28 | $88.46 | $232.60 | |
Anthem BCBS
| Professional | $66.06 | $66.06 | $66.06 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Harvard Pilgrim
| Professional | $73.40 | $84.92 | $130.28 | |
Martin's Point
| Professional | $65.67 | $65.67 | $75.52 | |
United
| Professional | $73.40 | $73.40 | $110.10 |