| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.82 | $46.80 | $71.44 | |
Anthem BCBS
| Facility | $191.88 | $191.88 | $191.88 | |
Anthem BCBS
| Professional | $106.23 | $108.77 | $108.77 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Harvard Pilgrim
| Professional | $66.52 | $66.52 | $66.52 | |
Martin's Point
| Professional | $36.82 | $46.80 | $71.44 | |
United
| Professional | $27.13 | $40.70 | $93.60 |