| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $54.95 | |
Aetna
| Professional | $18.20 | $25.12 | $32.36 | |
Anthem BCBS
| Facility | $33.11 | $38.90 | $117.49 | |
Anthem BCBS
| Professional | $12.59 | $16.22 | $21.88 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Harvard Pilgrim
| Professional | $33.88 | $33.88 | $40.74 | |
Martin's Point
| Facility | $33.88 | $33.88 | $33.88 | |
Martin's Point
| Professional | $18.20 | $25.70 | $32.36 | |
United
| Professional | $20.42 | $33.88 | $51.29 |