| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.71 | $121.97 | $121.97 | |
Aetna
| Professional | $19.71 | $27.51 | $67.92 | |
Anthem BCBS
| Professional | $18.61 | $23.26 | $34.34 | |
Cigna
| Professional | $22.28 | $29.24 | $51.94 | |
Harvard Pilgrim
| Professional | $19.62 | $23.80 | $40.96 | |
Martin's Point
| Facility | $121.97 | $121.97 | $121.97 | |
Martin's Point
| Professional | $19.71 | $28.26 | $69.14 | |
United
| Professional | $22.94 | $59.89 | $102.45 |