| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $60.26 | $467.74 | |
Aetna
| Professional | $15.85 | $22.91 | $281.84 | |
Anthem BCBS
| Facility | $28.18 | $169.82 | $181.97 | |
Anthem BCBS
| Professional | $9.55 | $14.45 | $23.99 | |
Cigna
| Facility | $21.38 | $25.70 | $54.95 | |
Cigna
| Professional | $11.22 | $24.55 | $34.67 | |
Harvard Pilgrim
| Professional | $14.79 | $23.99 | $28.84 | |
Martin's Point
| Facility | $19.50 | $38.90 | $446.68 | |
Martin's Point
| Professional | $16.98 | $23.99 | $123.03 | |
United
| Professional | $14.45 | $23.99 | $37.15 |