| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.33 | $33.67 | $47.83 | |
Anthem BCBS
| Facility | $138.04 | $138.04 | $138.04 | |
Anthem BCBS
| Professional | $71.12 | $72.83 | $72.83 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Harvard Pilgrim
| Professional | $47.87 | $47.87 | $47.87 | |
Martin's Point
| Professional | $25.33 | $33.67 | $47.83 | |
United
| Professional | $22.92 | $29.28 | $67.31 |