| 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 | $17.50 | $25.78 | $28.99 | |
Cigna
| Professional | $19.00 | $33.50 | $68.25 | |
Harvard Pilgrim
| Professional | $26.64 | $35.34 | $54.99 | |
Martin's Point
| Professional | $19.00 | $19.57 | $25.00 | |
United
| Professional | $20.29 | $50.36 | $61.51 |