| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.34 | $28.42 | $40.08 | |
Anthem BCBS
| Facility | $116.52 | $116.52 | $116.52 | |
Anthem BCBS
| Professional | $64.51 | $66.06 | $66.06 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Harvard Pilgrim
| Professional | $40.40 | $40.40 | $40.40 | |
Martin's Point
| Professional | $22.34 | $28.42 | $40.08 | |
United
| Professional | $16.48 | $24.71 | $56.84 |