| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.02 | $69.69 | $86.15 | |
Anthem BCBS
| Facility | $285.70 | $285.70 | $285.70 | |
Anthem BCBS
| Professional | $124.30 | $127.29 | $127.29 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
Harvard Pilgrim
| Professional | $99.06 | $99.06 | $99.06 | |
Martin's Point
| Professional | $48.02 | $69.69 | $86.15 | |
United
| Professional | $40.40 | $60.60 | $139.37 |