| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.54 | $44.28 | $72.75 | |
Anthem BCBS
| Facility | $181.55 | $181.55 | $181.55 | |
Anthem BCBS
| Professional | $98.16 | $100.52 | $100.52 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
Harvard Pilgrim
| Professional | $62.95 | $62.95 | $62.95 | |
Martin's Point
| Professional | $40.54 | $44.28 | $72.75 | |
United
| Professional | $30.15 | $38.51 | $64.18 |