| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.11 | $59.89 | $59.89 | |
Anthem BCBS
| Facility | $56.43 | $73.11 | $135.53 | |
Anthem BCBS
| Professional | $54.36 | $57.66 | $57.66 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $63.68 | |
Harvard Pilgrim
| Professional | $79.89 | $79.89 | $79.89 | |
Martin's Point
| Professional | $54.24 | $59.89 | $59.89 | |
United
| Professional | $32.82 | $49.22 | $113.20 |