| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.95 | $63.95 | $64.31 | |
Aetna
| Professional | $51.37 | $61.65 | $72.05 | |
Anthem BCBS
| Professional | $52.01 | $61.55 | $82.02 | |
Cigna
| Professional | $40.00 | $53.00 | $111.00 | |
Harvard Pilgrim
| Professional | $54.10 | $71.31 | $112.25 | |
Martin's Point
| Professional | $55.81 | $63.95 | $85.89 | |
United
| Professional | $53.08 | $86.55 | $117.59 |