| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $57.54 | $64.57 | |
Anthem BCBS
| Facility | $177.83 | $177.83 | $177.83 | |
Anthem BCBS
| Professional | $79.43 | $93.33 | $107.15 | |
Cigna
| Professional | $26.30 | $33.11 | $33.11 | |
Harvard Pilgrim
| Professional | $66.07 | $66.07 | $66.07 | |
Martin's Point
| Professional | $29.51 | $50.12 | $64.57 | |
United
| Professional | $25.12 | $37.15 | $66.07 |