| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.94 | $101.65 | $101.65 | |
Anthem BCBS
| Facility | $134.22 | $173.91 | $322.37 | |
Anthem BCBS
| Professional | $88.15 | $88.15 | $113.30 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $73.02 | $100.03 | |
Harvard Pilgrim
| Professional | $122.20 | $122.20 | $122.20 | |
Martin's Point
| Professional | $84.98 | $101.65 | $101.65 | |
United
| Professional | $50.20 | $75.29 | $173.14 |