| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.72 | $49.06 | $71.27 | |
Anthem BCBS
| Facility | $201.10 | $201.10 | $201.10 | |
Anthem BCBS
| Professional | $101.91 | $104.35 | $104.35 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
Harvard Pilgrim
| Professional | $69.73 | $69.73 | $69.73 | |
Martin's Point
| Professional | $39.72 | $49.06 | $71.27 | |
United
| Professional | $33.40 | $42.66 | $98.12 |