| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.00 | $67.65 | $80.73 | |
Anthem BCBS
| Facility | $277.32 | $277.32 | $277.32 | |
Anthem BCBS
| Professional | $118.62 | $121.47 | $121.47 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
Harvard Pilgrim
| Professional | $96.16 | $96.16 | $96.16 | |
Martin's Point
| Professional | $45.00 | $67.65 | $80.73 | |
United
| Professional | $39.22 | $58.82 | $135.30 |