| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.22 | $43.52 | $63.21 | |
Anthem BCBS
| Facility | $178.42 | $178.42 | $178.42 | |
Anthem BCBS
| Professional | $90.39 | $92.56 | $92.56 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Harvard Pilgrim
| Professional | $61.85 | $61.85 | $61.85 | |
Martin's Point
| Professional | $35.22 | $43.52 | $63.21 | |
United
| Professional | $29.63 | $37.84 | $87.03 |