| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.20 | $26.98 | $38.04 | |
Anthem BCBS
| Facility | $110.59 | $110.59 | $110.59 | |
Anthem BCBS
| Professional | $61.22 | $62.69 | $62.69 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
Harvard Pilgrim
| Professional | $38.35 | $38.35 | $38.35 | |
Martin's Point
| Professional | $26.98 | $26.98 | $37.94 | |
United
| Professional | $18.37 | $23.46 | $53.94 |