| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.79 | $67.37 | $110.87 | |
Anthem BCBS
| Facility | $276.22 | $276.22 | $276.22 | |
Anthem BCBS
| Professional | $133.82 | $137.03 | $137.03 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Harvard Pilgrim
| Professional | $95.76 | $95.76 | $95.76 | |
Martin's Point
| Professional | $61.79 | $67.37 | $110.87 | |
United
| Professional | $45.88 | $58.58 | $134.72 |