| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
Anthem BCBS
| Facility | $47.51 | $59.39 | $125.64 | |
Anthem BCBS
| Professional | $60.11 | $63.00 | $63.00 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
Harvard Pilgrim
| Professional | $69.20 | $69.20 | $69.20 | |
Martin's Point
| Professional | $42.00 | $42.00 | $42.00 | |
United
| Professional | $20.74 | $31.12 | $75.20 |