| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.80 | $88.98 | $127.03 | |
Anthem BCBS
| Facility | $364.75 | $364.75 | $364.75 | |
Anthem BCBS
| Professional | $156.40 | $160.15 | $160.15 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Harvard Pilgrim
| Professional | $126.46 | $126.46 | $126.46 | |
Martin's Point
| Professional | $70.80 | $88.98 | $127.03 | |
United
| Professional | $59.93 | $77.37 | $214.74 |