| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $77.62 | $109.65 | |
Anthem BCBS
| Facility | $194.98 | $194.98 | $194.98 | |
Anthem BCBS
| Professional | $66.07 | $66.07 | $66.07 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Harvard Pilgrim
| Professional | $66.07 | $75.86 | $85.11 | |
Martin's Point
| Professional | $66.07 | $69.18 | $109.65 | |
United
| Professional | $56.23 | $64.57 | $112.20 |