| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $73.81 | $101.37 | |
Anthem BCBS
| Facility | $71.44 | $89.67 | $233.94 | |
Anthem BCBS
| Professional | $66.43 | $66.43 | $73.06 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Harvard Pilgrim
| Professional | $73.81 | $85.41 | $131.02 | |
Martin's Point
| Professional | $73.81 | $80.75 | $109.25 | |
United
| Professional | $73.81 | $73.81 | $110.73 |