| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.32 | $14.32 | $14.32 | |
Aetna
| Professional | $14.32 | $15.00 | $18.23 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $15.00 | |
Cigna
| Professional | $10.00 | $15.00 | $64.33 | |
Harvard Pilgrim
| Professional | $14.19 | $18.82 | $29.30 | |
Martin's Point
| Professional | $14.32 | $15.00 | $18.23 | |
United
| Professional | $21.79 | $48.40 | $67.50 |