| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $16.30 | $17.93 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $24.00 | $24.00 | $24.00 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Harvard Pilgrim
| Professional | $14.10 | $16.30 | $25.03 | |
Martin's Point
| Professional | $13.00 | $16.30 | $17.93 | |
United
| Professional | $13.38 | $13.38 | $20.53 |