| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.60 | $31.60 | $67.15 | |
Aetna
| Professional | $25.60 | $25.60 | $25.60 | |
Anthem BCBS
| Professional | $4.41 | $4.41 | $20.54 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Harvard Pilgrim
| Professional | $31.60 | $31.60 | $38.27 | |
Martin's Point
| Facility | $31.60 | $31.60 | $51.19 | |
Martin's Point
| Professional | $25.60 | $25.60 | $31.60 | |
United
| Professional | $18.96 | $18.96 | $45.82 |