| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.45 | $57.66 | $88.71 | |
Anthem BCBS
| Facility | $236.38 | $236.38 | $236.38 | |
Anthem BCBS
| Professional | $130.86 | $134.00 | $134.00 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Harvard Pilgrim
| Professional | $81.96 | $81.96 | $81.96 | |
Martin's Point
| Professional | $49.45 | $57.66 | $88.71 | |
United
| Professional | $33.43 | $50.14 | $115.30 |