| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $61.66 | $72.44 | |
Anthem BCBS
| Facility | $208.93 | $208.93 | $208.93 | |
Anthem BCBS
| Professional | $89.13 | $104.71 | $120.23 | |
Cigna
| Professional | $29.51 | $37.15 | $37.15 | |
Harvard Pilgrim
| Professional | $75.86 | $75.86 | $75.86 | |
Martin's Point
| Professional | $34.67 | $56.23 | $72.44 | |
United
| Professional | $28.84 | $43.65 | $75.86 |