| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $64.57 | $79.43 | |
Anthem BCBS
| Facility | $186.21 | $186.21 | $186.21 | |
Anthem BCBS
| Professional | $87.10 | $102.33 | $117.49 | |
Cigna
| Professional | $28.84 | $36.31 | $36.31 | |
Harvard Pilgrim
| Professional | $67.61 | $67.61 | $67.61 | |
Martin's Point
| Professional | $30.90 | $60.26 | $79.43 | |
United
| Professional | $25.70 | $38.90 | $67.61 |