| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $27.19 | |
Aetna
| Professional | $20.62 | $27.19 | $45.51 | |
Anthem BCBS
| Professional | $27.13 | $36.43 | $52.42 | |
Cigna
| Professional | $25.47 | $42.79 | $67.45 | |
Harvard Pilgrim
| Professional | $30.50 | $40.79 | $68.02 | |
Martin's Point
| Professional | $20.62 | $27.19 | $51.89 | |
United
| Professional | $33.39 | $47.98 | $71.70 |