| 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 | $24.41 | |
Anthem BCBS
| Professional | $3.95 | $5.27 | $8.46 | |
Cigna
| Professional | $7.83 | $10.71 | $14.00 | |
Harvard Pilgrim
| Professional | $22.64 | $30.04 | $46.74 | |
Martin's Point
| Professional | $18.76 | $19.44 | $24.41 | |
United
| Professional | $5.33 | $7.92 | $12.55 |