| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.25 | $43.75 | $62.60 | |
Anthem BCBS
| Facility | $179.36 | $179.36 | $179.36 | |
Anthem BCBS
| Professional | $93.72 | $95.97 | $95.97 | |
Cigna
| Professional | $34.54 | $34.54 | $34.54 | |
Harvard Pilgrim
| Professional | $62.18 | $62.18 | $62.18 | |
Martin's Point
| Professional | $34.25 | $43.75 | $62.60 | |
United
| Professional | $25.36 | $38.04 | $87.48 |