| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.06 | $120.06 | $120.06 | |
Aetna
| Professional | $15.60 | $24.01 | $120.06 | |
Anthem BCBS
| Professional | $25.98 | $26.22 | $42.35 | |
Cigna
| Professional | $20.25 | $25.31 | $34.18 | |
Harvard Pilgrim
| Professional | $30.92 | $41.22 | $64.14 | |
Martin's Point
| Professional | $15.60 | $30.48 | $120.06 | |
United
| Professional | $19.68 | $28.54 | $45.57 |