| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $29.80 | $47.77 | |
Anthem BCBS
| Facility | $122.16 | $122.16 | $122.16 | |
Anthem BCBS
| Professional | $67.63 | $69.25 | $69.25 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Harvard Pilgrim
| Professional | $42.35 | $42.35 | $42.35 | |
Martin's Point
| Professional | $26.62 | $29.80 | $47.77 | |
United
| Professional | $20.29 | $25.91 | $71.93 |