| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.97 | $31.02 | $31.02 | |
Anthem BCBS
| Facility | $48.10 | $62.32 | $115.51 | |
Anthem BCBS
| Professional | $34.94 | $36.54 | $36.54 | |
Cigna
| Facility | $36.21 | $36.21 | $39.32 | |
Cigna
| Professional | $26.43 | $29.14 | $36.21 | |
Harvard Pilgrim
| Professional | $44.09 | $44.09 | $44.09 | |
Martin's Point
| Professional | $15.67 | $28.43 | $31.02 | |
United
| Professional | $18.71 | $38.51 | $62.05 |