| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.30 | $19.30 | $19.30 | |
Aetna
| Professional | $19.00 | $19.57 | $25.00 | |
Anthem BCBS
| Professional | $16.43 | $21.90 | $24.09 | |
Cigna
| Professional | $19.00 | $27.00 | $64.33 | |
Harvard Pilgrim
| Professional | $26.64 | $35.34 | $54.99 | |
Martin's Point
| Professional | $19.00 | $19.57 | $25.00 | |
United
| Professional | $11.03 | $48.40 | $62.59 |