| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $51.29 | $131.83 | |
Anthem BCBS
| Facility | $85.11 | $102.33 | $117.49 | |
Anthem BCBS
| Professional | $52.48 | $52.48 | $69.18 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $38.90 | $38.90 | $53.70 | |
Harvard Pilgrim
| Professional | $75.86 | $75.86 | $91.20 | |
Martin's Point
| Professional | $40.74 | $52.48 | $131.83 | |
United
| Facility | $27.54 | $42.66 | $42.66 | |
United
| Professional | $33.88 | $52.48 | $87.10 |