| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.67 | $64.19 | $87.33 | |
Anthem BCBS
| Facility | $263.14 | $263.14 | $263.14 | |
Anthem BCBS
| Professional | $121.68 | $124.60 | $124.60 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Harvard Pilgrim
| Professional | $91.24 | $91.24 | $91.24 | |
Martin's Point
| Professional | $48.67 | $64.19 | $87.33 | |
United
| Professional | $37.21 | $55.82 | $128.37 |