| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.13 | $58.32 | $82.77 | |
Anthem BCBS
| Facility | $239.08 | $239.08 | $239.08 | |
Anthem BCBS
| Professional | $120.39 | $123.28 | $123.28 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
Harvard Pilgrim
| Professional | $82.89 | $82.89 | $82.89 | |
Martin's Point
| Professional | $46.13 | $58.32 | $82.77 | |
United
| Professional | $33.81 | $50.71 | $116.64 |