| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $35.48 | $56.23 | |
Aetna
| Professional | $19.05 | $25.70 | $33.88 | |
Anthem BCBS
| Facility | $33.88 | $40.74 | $120.23 | |
Anthem BCBS
| Professional | $14.13 | $19.05 | $22.91 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Harvard Pilgrim
| Professional | $35.48 | $35.48 | $41.69 | |
Martin's Point
| Facility | $35.48 | $35.48 | $35.48 | |
Martin's Point
| Professional | $19.05 | $26.92 | $33.88 | |
United
| Professional | $20.89 | $35.48 | $52.48 |