| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $38.02 | $46.77 | |
Anthem BCBS
| Facility | $112.20 | $112.20 | $112.20 | |
Anthem BCBS
| Professional | $54.95 | $64.57 | $74.13 | |
Cigna
| Professional | $18.20 | $22.39 | $22.39 | |
Harvard Pilgrim
| Professional | $40.74 | $40.74 | $40.74 | |
Martin's Point
| Professional | $20.89 | $28.84 | $46.77 | |
United
| Professional | $15.49 | $23.44 | $40.74 |