| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.12 | $35.54 | $45.89 | |
Anthem BCBS
| Facility | $46.03 | $54.58 | $101.18 | |
Anthem BCBS
| Professional | $29.43 | $37.69 | $40.54 | |
Cigna
| Facility | $33.36 | $33.36 | $51.96 | |
Cigna
| Professional | $33.36 | $33.36 | $44.28 | |
Harvard Pilgrim
| Professional | $37.85 | $37.85 | $37.85 | |
Martin's Point
| Professional | $20.60 | $29.12 | $45.89 | |
United
| Professional | $18.39 | $36.89 | $75.04 |