| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.38 | $62.15 | $82.23 | |
Anthem BCBS
| Facility | $254.77 | $254.77 | $254.77 | |
Anthem BCBS
| Professional | $125.29 | $128.30 | $128.30 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Harvard Pilgrim
| Professional | $88.32 | $88.32 | $88.32 | |
Martin's Point
| Professional | $45.38 | $62.15 | $82.23 | |
United
| Professional | $36.03 | $54.04 | $124.28 |