| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $95.50 | $123.03 | |
Anthem BCBS
| Facility | $316.23 | $316.23 | $316.23 | |
Anthem BCBS
| Professional | $151.36 | $177.83 | $204.17 | |
Cigna
| Professional | $50.12 | $61.66 | $61.66 | |
Harvard Pilgrim
| Professional | $114.82 | $114.82 | $114.82 | |
Martin's Point
| Professional | $52.48 | $89.13 | $123.03 | |
United
| Professional | $43.65 | $66.07 | $114.82 |