| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.32 | $14.32 | $14.32 | |
Aetna
| Professional | $14.32 | $17.38 | $126.15 | |
Anthem BCBS
| Professional | $26.00 | $34.67 | $56.88 | |
Cigna
| Professional | $19.00 | $27.00 | $30.79 | |
Harvard Pilgrim
| Professional | $23.82 | $115.63 | $194.22 | |
Martin's Point
| Professional | $14.32 | $17.18 | $126.15 | |
United
| Professional | $12.16 | $26.32 | $201.55 |