| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $16.98 | $19.05 | $25.12 | |
Anthem BCBS
| Professional | $20.42 | $25.12 | $48.98 | |
Cigna
| Professional | $20.89 | $54.95 | $109.65 | |
Harvard Pilgrim
| Professional | $26.92 | $35.48 | $77.62 | |
Martin's Point
| Professional | $16.98 | $19.05 | $25.12 | |
United
| Professional | $34.67 | $63.10 | $97.72 |