| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.16 | $38.06 | $38.06 | |
Anthem BCBS
| Professional | $42.33 | $42.33 | $115.00 | |
Cigna
| Facility | $39.86 | $39.86 | $39.86 | |
Cigna
| Professional | $33.88 | $33.88 | $46.89 | |
Harvard Pilgrim
| Professional | $54.10 | $54.10 | $54.10 | |
Martin's Point
| Professional | $18.16 | $34.86 | $38.06 | |
United
| Professional | $22.06 | $33.10 | $76.11 |