| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Anthem BCBS
| Professional | $5.25 | $7.08 | $13.80 | |
Cigna
| Professional | $12.30 | $25.70 | $69.18 | |
Harvard Pilgrim
| Professional | $22.91 | $30.20 | $64.57 | |
Martin's Point
| Professional | $15.85 | $19.05 | $23.99 | |
United
| Professional | $18.20 | $30.20 | $46.77 |