| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.68 | $49.58 | $67.61 | |
Anthem BCBS
| Facility | $203.24 | $203.24 | $203.24 | |
Anthem BCBS
| Professional | $100.91 | $103.33 | $103.33 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Harvard Pilgrim
| Professional | $70.45 | $70.45 | $70.45 | |
Martin's Point
| Professional | $37.68 | $49.58 | $67.61 | |
United
| Professional | $28.74 | $42.73 | $99.14 |