| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $10.96 | $17.38 | |
Anthem BCBS
| Facility | $10.72 | $12.88 | $34.67 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Facility | $10.96 | $10.96 | $10.96 | |
Cigna
| Professional | $10.96 | $10.96 | $10.96 | |
Harvard Pilgrim
| Professional | $10.96 | $12.88 | $14.45 | |
Martin's Point
| Professional | $10.96 | $11.75 | $16.60 | |
United
| Professional | $8.13 | $10.00 | $17.38 |