| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.56 | $66.56 | $73.20 | |
Anthem BCBS
| Facility | $194.23 | $194.23 | $194.23 | |
Anthem BCBS
| Professional | $64.08 | $64.08 | $64.08 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Harvard Pilgrim
| Professional | $63.57 | $73.55 | $112.83 | |
Martin's Point
| Professional | $66.56 | $66.56 | $96.21 | |
United
| Professional | $63.70 | $63.70 | $95.55 |