| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $41.69 | $47.86 | |
Anthem BCBS
| Facility | $117.49 | $117.49 | $117.49 | |
Anthem BCBS
| Professional | $57.54 | $67.61 | $77.62 | |
Cigna
| Professional | $19.05 | $23.44 | $23.44 | |
Harvard Pilgrim
| Professional | $42.66 | $42.66 | $42.66 | |
Martin's Point
| Professional | $19.50 | $39.81 | $47.86 | |
United
| Professional | $16.22 | $24.55 | $42.66 |