| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.52 | $31.02 | $38.35 | |
Anthem BCBS
| Facility | $48.10 | $62.32 | $115.51 | |
Anthem BCBS
| Professional | $30.75 | $30.75 | $30.75 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $35.60 | |
Harvard Pilgrim
| Professional | $44.09 | $44.09 | $44.09 | |
Martin's Point
| Professional | $19.25 | $31.02 | $31.19 | |
United
| Professional | $19.60 | $29.40 | $76.23 |