| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.95 | $28.24 | $44.79 | |
Anthem BCBS
| Facility | $115.79 | $115.79 | $115.79 | |
Anthem BCBS
| Professional | $64.09 | $65.64 | $65.64 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
Harvard Pilgrim
| Professional | $40.15 | $40.15 | $40.15 | |
Martin's Point
| Professional | $24.95 | $28.24 | $44.79 | |
United
| Professional | $16.37 | $24.56 | $56.48 |