| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.72 | $0.72 | $0.72 | |
Aetna
| Professional | $56.04 | $88.23 | $113.27 | |
Anthem BCBS
| Professional | $66.42 | $78.14 | $117.30 | |
Anthem BCBS
| Professional | 50 | $99.63 | $117.21 | $175.95 |
Cigna
| Professional | $74.70 | $122.57 | $202.14 | |
Harvard Pilgrim
| Professional | $73.78 | $120.36 | $201.05 | |
Martin's Point
| Professional | $58.59 | $94.18 | $154.84 | |
United
| Professional | $90.83 | $127.16 | $197.51 |