| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.01 | $77.56 | $139.15 | |
Anthem BCBS
| Facility | $303.41 | $303.41 | $303.41 | |
Anthem BCBS
| Professional | $167.97 | $172.00 | $172.00 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Harvard Pilgrim
| Professional | $105.20 | $105.20 | $105.20 | |
Martin's Point
| Professional | $74.01 | $77.56 | $139.15 | |
United
| Professional | $50.39 | $64.36 | $107.26 |