| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.02 | $56.20 | $62.88 | |
Anthem BCBS
| Facility | $92.13 | $119.37 | $221.27 | |
Anthem BCBS
| Professional | $54.74 | $57.39 | $57.39 | |
Cigna
| Facility | $58.00 | $58.00 | $76.13 | |
Cigna
| Professional | $42.34 | $47.49 | $58.00 | |
Harvard Pilgrim
| Professional | $83.88 | $83.88 | $83.88 | |
Martin's Point
| Professional | $28.96 | $62.12 | $75.45 | |
United
| Professional | $34.46 | $51.68 | $118.86 |