| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.88 | $82.28 | $93.07 | |
Anthem BCBS
| Facility | $337.30 | $337.30 | $337.30 | |
Anthem BCBS
| Professional | $140.04 | $143.41 | $143.41 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
Harvard Pilgrim
| Professional | $116.94 | $116.94 | $116.94 | |
Martin's Point
| Professional | $51.88 | $82.28 | $93.07 | |
United
| Professional | $53.66 | $71.54 | $119.24 |