| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $36.31 | $158.49 | |
Aetna
| Professional | $12.88 | $15.85 | $186.21 | |
Anthem BCBS
| Facility | $19.95 | $109.65 | $120.23 | |
Anthem BCBS
| Professional | $6.92 | $10.47 | $17.38 | |
Cigna
| Facility | $18.20 | $18.62 | $38.90 | |
Cigna
| Professional | $7.59 | $17.38 | $24.55 | |
Harvard Pilgrim
| Professional | $10.47 | $17.38 | $20.89 | |
Martin's Point
| Facility | $17.38 | $36.31 | $165.96 | |
Martin's Point
| Professional | $12.88 | $17.38 | $42.66 | |
United
| Professional | $10.47 | $17.38 | $26.92 |