| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.34 | $55.63 | $74.17 | |
Anthem BCBS
| Facility | $228.05 | $228.05 | $228.05 | |
Anthem BCBS
| Professional | $115.42 | $118.19 | $118.19 | |
Cigna
| Professional | $42.55 | $42.55 | $42.55 | |
Harvard Pilgrim
| Professional | $79.06 | $79.06 | $79.06 | |
Martin's Point
| Professional | $41.34 | $55.63 | $74.17 | |
United
| Professional | $32.25 | $48.37 | $111.23 |