| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.10 | $25.10 | $53.34 | |
Aetna
| Professional | $20.32 | $20.32 | $20.32 | |
Anthem BCBS
| Facility | $24.29 | $30.49 | $86.77 | |
Anthem BCBS
| Professional | $15.06 | $16.30 | $52.84 | |
Cigna
| Facility | $53.55 | $53.55 | $53.55 | |
Harvard Pilgrim
| Professional | $25.10 | $25.10 | $25.35 | |
Martin's Point
| Facility | $25.10 | $25.10 | $40.65 | |
Martin's Point
| Professional | $20.32 | $20.32 | $25.10 | |
United
| Professional | $15.06 | $15.06 | $40.38 |