| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.45 | $33.59 | $33.59 | |
Anthem BCBS
| Facility | $49.22 | $63.77 | $118.21 | |
Anthem BCBS
| Professional | $30.58 | $32.33 | $32.33 | |
Cigna
| Facility | $33.22 | $33.22 | $33.22 | |
Cigna
| Professional | $24.25 | $24.25 | $33.22 | |
Harvard Pilgrim
| Professional | $44.80 | $44.80 | $44.80 | |
Martin's Point
| Professional | $31.16 | $33.59 | $65.50 | |
United
| Professional | $19.47 | $27.61 | $63.48 |