| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $29.51 | $131.83 | |
Aetna
| Professional | $8.91 | $21.88 | $29.51 | |
Anthem BCBS
| Facility | $33.88 | $87.10 | $95.50 | |
Anthem BCBS
| Professional | $11.75 | $13.18 | $19.05 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $12.88 | $29.51 | $56.23 | |
Harvard Pilgrim
| Professional | $29.51 | $29.51 | $34.67 | |
Martin's Point
| Facility | $29.51 | $29.51 | $47.86 | |
Martin's Point
| Professional | $15.14 | $28.18 | $43.65 | |
United
| Professional | $7.94 | $19.50 | $29.51 |