| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.40 | $86.69 | $86.69 | |
Anthem BCBS
| Facility | $127.03 | $164.58 | $305.08 | |
Anthem BCBS
| Professional | $79.13 | $83.43 | $83.43 | |
Cigna
| Facility | $81.70 | $81.70 | $104.97 | |
Cigna
| Professional | $59.64 | $59.64 | $81.70 | |
Harvard Pilgrim
| Professional | $115.64 | $115.64 | $115.64 | |
Martin's Point
| Professional | $80.42 | $86.69 | $86.69 | |
United
| Professional | $47.50 | $71.26 | $163.86 |