| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.46 | $52.64 | $52.64 | |
Anthem BCBS
| Facility | $77.13 | $99.93 | $185.23 | |
Anthem BCBS
| Professional | $46.49 | $50.66 | $50.66 | |
Cigna
| Facility | $56.02 | $56.02 | $56.02 | |
Cigna
| Professional | $40.89 | $40.89 | $56.02 | |
Harvard Pilgrim
| Professional | $70.20 | $70.20 | $70.20 | |
Martin's Point
| Professional | $47.67 | $52.64 | $102.64 | |
United
| Professional | $30.52 | $43.27 | $120.09 |