| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.17 | $79.56 | $100.78 | |
Anthem BCBS
| Facility | $326.18 | $326.18 | $326.18 | |
Anthem BCBS
| Professional | $135.43 | $138.68 | $138.68 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Harvard Pilgrim
| Professional | $113.09 | $113.09 | $113.09 | |
Martin's Point
| Professional | $56.17 | $79.56 | $100.78 | |
United
| Professional | $51.89 | $69.19 | $159.11 |