| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $85.11 | $120.23 | |
Anthem BCBS
| Facility | $281.84 | $281.84 | $281.84 | |
Anthem BCBS
| Professional | $117.49 | $141.25 | $162.18 | |
Cigna
| Professional | $39.81 | $48.98 | $48.98 | |
Harvard Pilgrim
| Professional | $102.33 | $102.33 | $102.33 | |
Martin's Point
| Professional | $46.77 | $75.86 | $120.23 | |
United
| Professional | $38.90 | $58.88 | $102.33 |