| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $37.82 | $53.91 | |
Anthem BCBS
| Facility | $155.02 | $155.02 | $155.02 | |
Anthem BCBS
| Professional | $80.83 | $82.77 | $82.77 | |
Cigna
| Professional | $29.80 | $29.80 | $29.80 | |
Harvard Pilgrim
| Professional | $53.76 | $53.76 | $53.76 | |
Martin's Point
| Professional | $27.99 | $37.82 | $53.91 | |
United
| Professional | $21.92 | $32.89 | $75.62 |