| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $32.36 | $54.95 | |
Anthem BCBS
| Facility | $29.51 | $34.67 | $95.50 | |
Anthem BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Harvard Pilgrim
| Professional | $33.88 | $39.81 | $44.67 | |
Martin's Point
| Professional | $30.20 | $30.90 | $54.95 | |
United
| Professional | $30.20 | $33.88 | $60.26 |