| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $125.00 |
Aetna
| Professional | 26 | $44.68 | $125.00 | $265.00 |
Anthem BCBS
| Professional | 26 | $30.35 | $39.28 | $59.43 |
Cigna
| Professional | 26 | $37.29 | $48.15 | $64.15 |
Harvard Pilgrim
| Professional | 26 | $35.45 | $41.02 | $76.95 |
Martin's Point
| Professional | 26 | $47.25 | $125.00 | $265.00 |
United
| Professional | 26 | $35.45 | $45.87 | $57.43 |