| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.35 | $19.35 | $21.29 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $19.48 | $19.48 | $19.48 | |
Cigna
| Facility | $21.40 | $21.40 | $21.40 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Harvard Pilgrim
| Professional | $21.64 | $25.04 | $38.40 | |
Martin's Point
| Professional | $19.35 | $19.35 | $23.14 | |
United
| Professional | $22.78 | $22.78 | $34.17 |