| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $52.48 | $61.66 | |
Anthem BCBS
| Facility | $169.82 | $169.82 | $169.82 | |
Anthem BCBS
| Professional | $77.62 | $91.20 | $104.71 | |
Cigna
| Professional | $25.70 | $32.36 | $32.36 | |
Harvard Pilgrim
| Professional | $61.66 | $61.66 | $61.66 | |
Martin's Point
| Professional | $28.18 | $45.71 | $64.57 | |
United
| Professional | $23.44 | $35.48 | $61.66 |