| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.27 | $43.18 | $165.00 | |
Aetna
| Professional | $17.27 | $17.27 | $23.71 | |
Anthem BCBS
| Facility | $16.71 | $25.39 | $123.56 | |
Anthem BCBS
| Professional | $6.91 | $6.91 | $14.67 | |
Cigna
| Facility | $18.28 | $18.28 | $18.82 | |
Cigna
| Professional | $7.54 | $18.29 | $24.78 | |
Harvard Pilgrim
| Professional | $17.27 | $17.27 | $20.91 | |
Martin's Point
| Facility | $17.27 | $71.33 | $165.00 | |
Martin's Point
| Professional | $17.27 | $17.27 | $23.71 | |
United
| Professional | $10.36 | $10.36 | $25.91 |