| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.18 | $75.89 | $113.35 | |
Anthem BCBS
| Facility | $311.10 | $311.10 | $311.10 | |
Anthem BCBS
| Professional | $168.88 | $172.93 | $172.93 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Harvard Pilgrim
| Professional | $107.86 | $107.86 | $107.86 | |
Martin's Point
| Professional | $63.18 | $75.89 | $113.35 | |
United
| Professional | $43.99 | $65.98 | $151.76 |