| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.91 | $24.91 | $52.85 | |
Aetna
| Professional | $23.79 | $48.78 | $63.50 | |
Anthem BCBS
| Professional | $29.06 | $46.64 | $86.47 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $27.87 | $61.29 | $113.12 | |
Harvard Pilgrim
| Professional | $28.03 | $60.85 | $117.05 | |
Martin's Point
| Professional | $23.79 | $35.11 | $63.50 | |
United
| Professional | $43.61 | $74.58 | $109.63 |