| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $72.44 | $89.13 | |
Anthem BCBS
| Facility | $245.47 | $245.47 | $245.47 | |
Anthem BCBS
| Professional | $107.15 | $125.89 | $144.54 | |
Cigna
| Professional | $35.48 | $44.67 | $44.67 | |
Harvard Pilgrim
| Professional | $89.13 | $89.13 | $89.13 | |
Martin's Point
| Professional | $40.74 | $67.61 | $102.33 | |
United
| Professional | $33.88 | $51.29 | $89.13 |