| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.58 | $99.55 | $99.55 | |
Anthem BCBS
| Facility | $131.46 | $170.32 | $315.72 | |
Anthem BCBS
| Professional | $89.36 | $89.36 | $110.95 | |
Cigna
| Facility | $98.15 | $98.15 | $108.61 | |
Cigna
| Professional | $71.65 | $71.65 | $98.15 | |
Harvard Pilgrim
| Professional | $119.68 | $119.68 | $119.68 | |
Martin's Point
| Professional | $43.56 | $99.54 | $99.55 | |
United
| Professional | $52.00 | $112.48 | $204.65 |