| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.35 | $61.52 | $72.38 | |
Anthem BCBS
| Facility | $186.50 | $186.50 | $186.50 | |
Anthem BCBS
| Professional | $60.32 | $61.52 | $67.67 | |
Cigna
| Facility | $61.52 | $61.52 | $85.00 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Harvard Pilgrim
| Professional | $101.24 | $101.24 | $101.24 | |
Martin's Point
| Professional | $59.35 | $61.52 | $61.52 | |
United
| Professional | $60.32 | $60.32 | $97.44 |