| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.85 | $42.94 | $60.72 | |
Anthem BCBS
| Facility | $176.00 | $176.00 | $176.00 | |
Anthem BCBS
| Professional | $89.30 | $91.44 | $91.44 | |
Cigna
| Professional | $32.92 | $32.92 | $32.92 | |
Harvard Pilgrim
| Professional | $61.03 | $61.03 | $61.03 | |
Martin's Point
| Professional | $33.85 | $42.94 | $60.72 | |
United
| Professional | $24.89 | $37.34 | $85.85 |