| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $53.13 | |
Aetna
| Professional | $19.00 | $19.00 | $25.00 | |
Anthem BCBS
| Professional | $10.00 | $11.00 | $70.05 | |
Cigna
| Facility | $53.32 | $53.32 | $53.32 | |
Harvard Pilgrim
| Professional | $25.00 | $25.00 | $25.25 | |
Martin's Point
| Facility | $25.00 | $25.00 | $40.50 | |
Martin's Point
| Professional | $25.00 | $25.00 | $25.00 | |
United
| Professional | $12.75 | $15.00 | $43.75 |