| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.03 | $30.13 | $30.13 | |
Anthem BCBS
| Facility | $48.75 | $57.80 | $107.14 | |
Anthem BCBS
| Professional | $29.92 | $32.90 | $37.93 | |
Cigna
| Facility | $32.79 | $32.79 | $48.91 | |
Cigna
| Professional | $27.87 | $32.79 | $39.42 | |
Harvard Pilgrim
| Professional | $40.08 | $40.08 | $40.08 | |
Martin's Point
| Professional | $16.37 | $17.03 | $30.13 | |
United
| Professional | $16.54 | $38.43 | $74.73 |