| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.03 | $49.79 | $64.65 | |
Anthem BCBS
| Facility | $204.11 | $204.11 | $204.11 | |
Anthem BCBS
| Professional | $101.98 | $104.43 | $104.43 | |
Cigna
| Professional | $37.59 | $37.59 | $37.59 | |
Harvard Pilgrim
| Professional | $70.78 | $70.78 | $70.78 | |
Martin's Point
| Professional | $36.03 | $49.79 | $64.65 | |
United
| Professional | $33.90 | $43.30 | $72.16 |