| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $81.28 | $89.13 | |
Anthem BCBS
| Facility | $316.23 | $316.23 | $316.23 | |
Anthem BCBS
| Professional | $114.82 | $134.90 | $154.88 | |
Cigna
| Professional | $38.02 | $46.77 | $46.77 | |
Harvard Pilgrim
| Professional | $114.82 | $114.82 | $114.82 | |
Martin's Point
| Professional | $44.67 | $81.28 | $89.13 | |
United
| Professional | $43.65 | $66.07 | $114.82 |