| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Facility | $33.83 | $42.29 | $89.47 | |
Anthem BCBS
| Professional | $40.00 | $40.00 | $41.29 | |
Cigna
| Professional | $14.68 | $14.68 | $14.68 | |
Harvard Pilgrim
| Professional | $40.36 | $40.36 | $40.36 | |
Martin's Point
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $14.77 | $22.16 | $53.55 |