| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.53 | $61.75 | $87.07 | |
Anthem BCBS
| Facility | $253.12 | $253.12 | $253.12 | |
Anthem BCBS
| Professional | $140.13 | $143.49 | $143.49 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Harvard Pilgrim
| Professional | $87.76 | $87.76 | $87.76 | |
Martin's Point
| Professional | $48.53 | $61.75 | $87.07 | |
United
| Professional | $35.79 | $53.69 | $123.48 |