| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.60 | $36.32 | $36.32 | |
Anthem BCBS
| Facility | $53.22 | $68.95 | $127.82 | |
Anthem BCBS
| Professional | $33.31 | $34.95 | $34.95 | |
Cigna
| Facility | $34.22 | $34.22 | $34.22 | |
Cigna
| Professional | $24.98 | $24.98 | $34.22 | |
Harvard Pilgrim
| Professional | $48.45 | $48.45 | $48.45 | |
Martin's Point
| Professional | $32.89 | $36.32 | $70.81 | |
United
| Professional | $21.06 | $33.69 | $82.88 |