| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.82 | $55.63 | $55.63 | |
Anthem BCBS
| Facility | $81.51 | $105.61 | $195.76 | |
Anthem BCBS
| Professional | $50.86 | $53.55 | $53.55 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $58.60 | |
Harvard Pilgrim
| Professional | $74.20 | $74.20 | $74.20 | |
Martin's Point
| Professional | $50.39 | $55.63 | $55.63 | |
United
| Professional | $30.48 | $45.73 | $105.15 |