| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.99 | $60.50 | $80.72 | |
Anthem BCBS
| Facility | $248.02 | $248.02 | $248.02 | |
Anthem BCBS
| Professional | $119.18 | $122.04 | $122.04 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Harvard Pilgrim
| Professional | $86.00 | $86.00 | $86.00 | |
Martin's Point
| Professional | $44.99 | $60.50 | $80.72 | |
United
| Professional | $35.07 | $52.61 | $121.00 |