| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.85 | $77.38 | $105.59 | |
Anthem BCBS
| Facility | $317.19 | $317.19 | $317.19 | |
Anthem BCBS
| Professional | $139.24 | $142.58 | $142.58 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Harvard Pilgrim
| Professional | $109.98 | $109.98 | $109.98 | |
Martin's Point
| Professional | $58.85 | $77.38 | $105.59 | |
United
| Professional | $52.68 | $67.28 | $112.14 |