| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.00 | $14.00 | $14.00 | |
Anthem BCBS
| Facility | $21.56 | $25.57 | $47.40 | |
Anthem BCBS
| Professional | $14.53 | $15.53 | $17.85 | |
Cigna
| Facility | $14.57 | $14.57 | $22.18 | |
Cigna
| Professional | $12.38 | $14.57 | $17.44 | |
Harvard Pilgrim
| Professional | $17.73 | $17.73 | $17.73 | |
Martin's Point
| Professional | $10.52 | $10.52 | $14.00 | |
United
| Professional | $8.61 | $12.32 | $28.87 |