| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.17 | $23.17 | $352.80 | |
Aetna
| Professional | $23.17 | $159.31 | $574.50 | |
Anthem BCBS
| Professional | $15.51 | $40.04 | $564.76 | |
Cigna
| Professional | $25.79 | $59.50 | $671.34 | |
Harvard Pilgrim
| Professional | $25.97 | $79.03 | $693.29 | |
Martin's Point
| Professional | $23.17 | $159.31 | $574.50 | |
United
| Professional | $54.30 | $232.35 | $316.04 |