| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.62 | $78.06 | $88.43 | |
Anthem BCBS
| Facility | $110.26 | $130.74 | $242.35 | |
Anthem BCBS
| Professional | $81.90 | $81.90 | $90.95 | |
Cigna
| Facility | $74.67 | $74.67 | $115.70 | |
Cigna
| Professional | $74.67 | $74.67 | $95.04 | |
Harvard Pilgrim
| Professional | $90.66 | $90.66 | $90.66 | |
Martin's Point
| Professional | $58.70 | $73.62 | $88.43 | |
United
| Professional | $39.34 | $68.43 | $183.40 |