| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.68 | $39.97 | $58.56 | |
Anthem BCBS
| Facility | $163.91 | $163.91 | $163.91 | |
Anthem BCBS
| Professional | $90.74 | $92.91 | $92.91 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Harvard Pilgrim
| Professional | $56.82 | $56.82 | $56.82 | |
Martin's Point
| Professional | $31.68 | $39.97 | $58.56 | |
United
| Professional | $27.22 | $34.76 | $79.95 |