| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.68 | $34.14 | $53.25 | |
Anthem BCBS
| Facility | $139.97 | $139.97 | $139.97 | |
Anthem BCBS
| Professional | $77.48 | $79.34 | $79.34 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Harvard Pilgrim
| Professional | $48.52 | $48.52 | $48.52 | |
Martin's Point
| Professional | $29.68 | $34.14 | $53.25 | |
United
| Professional | $23.24 | $29.69 | $49.48 |