| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.07 | $22.07 | $31.90 | |
Anthem BCBS
| Facility | $21.36 | $26.81 | $69.94 | |
Anthem BCBS
| Professional | $19.87 | $19.87 | $21.85 | |
Cigna
| Facility | $21.82 | $21.82 | $21.82 | |
Cigna
| Professional | $21.82 | $21.82 | $21.82 | |
Harvard Pilgrim
| Professional | $22.07 | $25.54 | $39.17 | |
Martin's Point
| Professional | $22.07 | $22.07 | $32.65 | |
United
| Professional | $16.76 | $19.72 | $28.59 |