| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $61.66 | |
Aetna
| Professional | $33.11 | $51.29 | $79.43 | |
Anthem BCBS
| Professional | $38.02 | $66.07 | $112.20 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Harvard Pilgrim
| Professional | $42.66 | $83.18 | $169.82 | |
Martin's Point
| Professional | $33.11 | $53.70 | $109.65 | |
United
| Professional | $42.66 | $75.86 | $131.83 |