| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.47 | $93.24 | $93.24 | |
Anthem BCBS
| Facility | $136.62 | $177.00 | $328.11 | |
Anthem BCBS
| Professional | $84.87 | $89.74 | $89.74 | |
Cigna
| Facility | $88.85 | $88.85 | $112.90 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
Harvard Pilgrim
| Professional | $124.36 | $124.36 | $124.36 | |
Martin's Point
| Professional | $84.45 | $93.24 | $93.24 | |
United
| Professional | $51.09 | $76.63 | $176.22 |