| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $15.85 | $19.05 | $23.99 | |
Anthem BCBS
| Professional | $16.22 | $22.91 | $35.48 | |
Cigna
| Professional | $19.05 | $31.62 | $75.86 | |
Harvard Pilgrim
| Professional | $26.92 | $35.48 | $77.62 | |
Martin's Point
| Professional | $16.98 | $19.05 | $25.12 | |
United
| Professional | $28.18 | $45.71 | $67.61 |