| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.57 | $30.57 | $33.61 | |
Anthem BCBS
| Facility | $30.39 | $41.18 | $108.28 | |
Anthem BCBS
| Professional | $30.75 | $30.75 | $30.75 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Harvard Pilgrim
| Professional | $34.17 | $39.53 | $60.65 | |
Martin's Point
| Professional | $30.57 | $30.57 | $35.15 | |
United
| Professional | $34.17 | $34.17 | $51.26 |