| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.63 | $28.63 | $28.63 | |
Aetna
| Professional | $5.33 | $29.02 | $36.47 | |
Anthem BCBS
| Professional | $17.07 | $21.90 | $36.11 | |
Cigna
| Professional | $15.69 | $27.00 | $27.00 | |
Harvard Pilgrim
| Professional | $5.50 | $6.93 | $26.32 | |
Martin's Point
| Professional | $5.12 | $28.45 | $36.19 | |
United
| Professional | $7.17 | $10.33 | $26.32 |