| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.35 | $34.64 | $62.15 | |
Anthem BCBS
| Facility | $140.79 | $140.79 | $140.79 | |
Anthem BCBS
| Professional | $76.45 | $78.29 | $78.29 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Harvard Pilgrim
| Professional | $48.82 | $48.82 | $48.82 | |
Martin's Point
| Professional | $34.35 | $34.64 | $62.15 | |
United
| Professional | $23.38 | $29.87 | $68.70 |