| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $154.88 | $177.83 | |
Anthem BCBS
| Facility | $616.60 | $616.60 | $616.60 | |
Anthem BCBS
| Professional | $218.78 | $263.03 | $302.00 | |
Cigna
| Professional | $74.13 | $91.20 | $91.20 | |
Harvard Pilgrim
| Professional | $223.87 | $223.87 | $223.87 | |
Martin's Point
| Professional | $85.11 | $151.36 | $177.83 | |
United
| Professional | $85.11 | $125.89 | $223.87 |