| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $10.96 | $14.13 | $18.20 | |
Anthem BCBS
| Professional | $17.38 | $22.91 | $27.54 | |
Cigna
| Professional | $10.00 | $47.86 | $95.50 | |
Harvard Pilgrim
| Professional | $14.13 | $19.05 | $44.67 | |
Martin's Point
| Professional | $12.88 | $14.13 | $19.05 | |
United
| Professional | $18.62 | $53.70 | $83.18 |