| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.24 | $40.71 | $57.19 | |
Anthem BCBS
| Facility | $166.92 | $166.92 | $166.92 | |
Anthem BCBS
| Professional | $87.33 | $89.42 | $89.42 | |
Cigna
| Professional | $32.19 | $32.19 | $32.19 | |
Harvard Pilgrim
| Professional | $57.86 | $57.86 | $57.86 | |
Martin's Point
| Professional | $30.24 | $40.71 | $57.19 | |
United
| Professional | $23.60 | $35.40 | $81.42 |