| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.14 | $62.14 | $132.05 | |
Aetna
| Professional | $62.14 | $62.14 | $62.14 | |
Anthem BCBS
| Professional | $24.86 | $24.86 | $40.39 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
Harvard Pilgrim
| Professional | $62.14 | $71.90 | $110.29 | |
Martin's Point
| Facility | $62.14 | $62.14 | $100.67 | |
Martin's Point
| Professional | $62.14 | $62.14 | $62.14 | |
United
| Professional | $37.28 | $37.28 | $90.10 |